HomeMy WebLinkAboutSingley, Christopher - roof insp affPlanning & 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 # ol Q 07 - (Dr -I % I
d6� 14ckmDSTgl, licensed as a(n)Contractor*/Engineer/Architect
(Please print nArrne & 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 e� { 9 t d-od- ' , I did personally inspect the roof deck nailing
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(Date) / {-
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work at: e I LP (�L7 � q r - L. L
(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 strigent).
Signature and Seal _._.
STATE OF FLORIDA I
COUNTY OF +- LU Gf C.
0C f Mosla
License #
Sworn to and subscribed before me this [ day of 20Jv
by JCf�e RctOlp&SAn Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: 8,n�� aJzAs,
Commission Number: F (Seal)
En
y�, PRY PVg�,I
CONSTANCE PROULX
state of Florida -Notary public
'= Commission # GG 258328
My Commission Expires
September 16, 2022
5