HomeMy WebLinkAboutRoof inspection 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 &C-1wo---ok
I, Robert Donovan , 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 468F.S. to make such an inspection.
On or about 10 - Gq , I did personally inspect the roof deck_nailing
(Date)
work at:
3102 Anderson Dr
(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).
Signa u and Seal
CCC1330489
License #
STATE OF FLORIDA Palm Beach
COUNTY OF _
Sworn to and subscri
bed before me this day of O ` 20�
by RobertDonovan = Who is personaTy known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: GG930883
En
CHRIS71�'nr gplSIONSON
(Seal = �'P� MY COMMigSlot4 # GG 93 O83
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