HomeMy WebLinkAboutRoof Affadavitsi. 61401111
COUNTY
F L 0 Ft 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 #_SLG Z008"D D 7 O
I, _N(J j 165 E. FOOV, licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type)—
ype *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F'.5. to make such an inspection.
On or about 10/10/10 1 did personally inspect the roof deck nailing
(Date)
workat: gi63 Ij -�1�5 -P-)Iyd
(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).
&/� l z
Signature and Seal
STATE OF FLORIDA
COUNTY OF
CCC 13265.7 q
License #
Sworn to and subscribed before me this /10 day of 0�obor 20Za,
byboy� �t[L('. Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number. Gb 13 (Seal)
In
510,
Notary Public State of Flor da
BrandonSmith
My commission GG 137133
ww Expires 08123/2021