HomeMy WebLinkAboutRoof Inspection 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 # Z. 0 0 9 0191
I, rAr%;+ Z ack 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 vglL(, �202o I did personally inspect the roof deck nailing
(Date)
workat: /0 -] c), s oc,un d,- io+- � -7 S
(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
Cc c 132t !o(o q
License #
-ktaw °�B . SAMIRA M.3GONZALEZ?� •fir �; -, Notary Public -a9 • o` Commission
STATE OF FLORIDA NtoFq�p' My Comm. Expi2COUNTY OF M d If -r 1 Bonded through Natin.
Yh
Sworn to and subscribed before me this Z� day of Seek^)'t✓ 20_4.a
by & h i+ Ze')'2a Gh Who is personally known to me or who has produced
G 5FIori
s identification.
Notary Public, StateSignature of Notary:
Commission Numbe14_% .11
JK (Seal)
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