HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
�? ^(J �-' + '' Building&Code Regulation Division
2300 Virginia Avenue
O ® Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Z009 - O/SF
I, Cosa Ci,00licensed 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 /G-0(7- Z e . I did personally'inspect the roof deck nailing
(Date) /l,Q�/
work at: � � �G' // /f&
(Job site address)
Based upon that examination I have dqegnined the installation was done according to the current
edition of da Ex' g Buil g de Section 708 or the product approval submitted (whichever
is mo t).
C O,,,o, S G
ignatu a and Seal License#
t; ';,'•.,. RICKY CARL COCHRAN
^lolary Put)lir,-Stale of Florida
Ceaunlssion tt GG 172136
STATE OF FLORIDA '=:�., � � ,,'; PryCurncn.Expires P,pr26,2022
COUNTYOF SJR GFX, 13ondulilhruughNntiunalNotary Assn,
Sworn to and subscribed before me this o? 9 day of 0r-104e- 20Z!�,'
by(�' ,r/-m a6!r, �/�^ Who is personally known to me or who has produced
as identification.
Notary Public,Stateof Florida
Signature of Notary:
Commission Number: /7Z l36 _ (Seal) RECEIVED
En NOV O 3 1020
Permitting Department
St.Lucle County