HomeMy WebLinkAboutaffidavitCOUNTY
F L O R I 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 #5UZO08 - Qqp
I, ()oUS Iq3 E. Rg& 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 ) n 6 / 26 1 did personally inspect the roof deck nailing
(Date)
work at: 11903 S • Ind 1a+1 12iyf r br.
(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 FLORI A
COUNTY OF 11 Lf"
C6C13Z667y
License #
Sworn to and subscribed before me this / day of ���' 20 ZO,
by --_ Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary;
Commission Number: (j (;2 117 y (Seal)
En
�Y-
01,,y hr, Notary Public State of Fonda
�F Brandon Smith
�p My Commission GG 137433
Expires 00/23/2021