HomeMy WebLinkAboutRoof AffidavitPlanning & 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 # 2006-0925
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 an inspection.
On or about A171?'O , I did personally inspect the roof deck nailing
( 'ate)'
work at:
7260 Reserve Creek Drive Port St. Lucie, 34986
(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
is most st ' t}--- -- - ---`
Signature and Seal
CCC1331472
License #
STATE OF FLORI C��
COUNTY OF r
Swor o and cribed before me this / � day of 2�
b�15 ���70�� Who is personally kno o me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
T
Man L. Perez
Comm.010,922604
E023
g Vis. bN AeXon N0tMy
(Seal)
COUNTY
F
LORI
D A
Planning & 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 # 2006-0925
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 an inspection.
On or about A171?'O , I did personally inspect the roof deck nailing
( 'ate)'
work at:
7260 Reserve Creek Drive Port St. Lucie, 34986
(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
is most st ' t}--- -- - ---`
Signature and Seal
CCC1331472
License #
STATE OF FLORI C��
COUNTY OF r
Swor o and cribed before me this / � day of 2�
b�15 ���70�� Who is personally kno o me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
T
Man L. Perez
Comm.010,922604
E023
g Vis. bN AeXon N0tMy
(Seal)