HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�r r, Building& Code Regulation Division
COUNT 2300 Virginia Avenue
Fort Pierce, FL 34982
-- — - — 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1-/0( 0,2101
I,\N h,u n WWAlensed 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 I did personally inspect the roof deck nailing
Date)
work at: St COS PWON W
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit, oft Florida Existing Building Code Section 708 or the product approval submitted (whichever
ism st s Nie4�,
n r a al License# .
STATE OF FLOPIQA
COUNTY OF LVC;�
Sworn to and subscribed,before�}e this 20?v
by 47dY/e ' 7" .,a/�f` - W is personall k e or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: rf (Seal)
En
: `hnr'b"N MIGUEL..A MERCADO
M`(COMMISSION#GG096745
hgrp ` EXPIRES April 19,2021