HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
h A "Ws �Z.W_ M, -
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # S L C— 2 010 ^0(oc d
I, J10hn kU(1\1fflicensed as a(n ontractor /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 _41 1 3 / 2 OZ,a I did personally inspect the roof deck nailing
(Date)
work at: -7? I 2---> S c idd I-e brooms- 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).
nature a al
CCC 132G (OS9
License #
STATE OF FLORIDA
COUNTY OF T QCOVX 6CC.C►-A
Sworn to and subscribed before me this 2 $ i_ day of CC4-6e 20 2a
by 34YXr\ V-ur-h Ic! Who is personally known to me or who has produced
as identification.
Notary Public, State of FI rida
Signature of Notary:
Commission Number:1 �A_�
0 i (Sea[) �pALEXANDRA W I N D U S
Notary Public -State of Florida
En Commission # GG 909176
My Commission Expires
"`' August 29, 2023