HomeMy WebLinkAboutRoof AffidavitCOUNTY
F L O R 1 0 A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-4624172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # X "C Xc 7
I,bFe,elle. . mAn licensed as a(n Contracto */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 f[) -Ig JD9D I did personally inspect the roof deck nailing
(Date)
work at: Qt- N�
(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 st�ent). O
Signature and Seal
STATE OF FLORIDA ,
COUNTY OF 5t.L-OC4e,
Cir i30r1%7
License #
Sworn to and subscribed before me this 1� I_ day of 02.1, 20,Q
by M Ile 0 ,nJmn4 . Who is personally known to me or who has produced
Jam..,.:>.� as identification.
Notary Public, State of g)bHP-i I
Signature of Notary:, -�•1 L,n, wJ w
commission Number:' (' Cy90774S (Seal)
En FRANK LASASSO
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG907745
it Expires 8/162023