HomeMy WebLinkAboutRoof Inspection Affidavit 08/21/2020 11:07 (FAX) P.001/001
Planning& Development Services
r rM Building&Code Regulation Division Iff M.
1
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re, Permit# 5 L C -2-ao'7+ 05"fa
Z-01"4 , licensed as a(n) ontractor /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*Generpl,80ding,Residential for Roofing Contractor or any individual certif7ed under 468 F.S.to make such an inspection.
On or about <0/Z 1 I d , I did personally inspect the roof deck nailing
(Date)
work at: 7-7 Z ✓i S l e,42Se4l /ZJ FI' Pi ere_e,
(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 ),
C- 5 z 3 4(h
re and Seal License#
STATE OF FLO IDA
COUNTY C 61 eel /I
Sworn to and subscribed,be_fore me this w" day of - .!- 202-2p
by ,/ . who is personally knovEf to me or who has produced
'� 4-*Is identification.
Notary Public,State of FjaW
Signature of Notary:
Commission Number: (Seal)
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YPij�+.,
SAMIRM.GONZALEZ
_? NotaryRublic-5 tPof[lprida
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My Cgmm.Expires Mar 18,202
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