HomeMy WebLinkAboutRoof Inspection Affidavit-Permit 2007-0695.pdfPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# door) - 00T
Danielle Ryckman , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such on inspection.
On or about 8191,410 Ao I did personally inspect the roof deck nailing
(Date)
work at: 3067 Charles Way Fort Pierce, FL 34946
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
igent).
Signature and Seal
STATE FLO UJ,
COUNTYY OF
Sy , r to and s"crib6 bef��e��mee'this I day of
by S y),,,P 1LA,� L,h.►r W Who is person
as identification.
n
Notary Public, State of
Signature of Notary:_
Commission Number:
En
CCC 1330918
License p
who has produced
(Seal)
RNONDALYNNOKSMAN
Cammisalon # GG 174712
WItes Fabtuety 16, 2022
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