HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
EFort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# O O O/�7
I, Co G,�►.ri /�L licensed 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 I did personally inspect the roof deck nailing
(Date)
work at:10 O 14 Oct a 40- b/2
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flo ida Existing Buil ' g Code Section 708 or the product approval submitted (whichever
is most ).
CS e aa-3
ignature and Seal License#
•���iv'n�'.,, RICKY CARL COCHRAN
STATE OF FLORID / ;.�. �:�� Notary Public-State of Florida
Comssion 4 GG 172136
COUNTY OF stit7�� ',mD �';'My Comm.Expires pr 26,022
" !!!!;;'•� Bonded through National Notary Assn.
Sworn t and subscribgd before me this 0017' day of oe. ✓c' ___,
by .�+ !• �•— - Who is personally known to me or who has}roduced
as identification.
Notary Public,State of Flor'
Signature of Notary:
Commission Number: (Seal)
En
Pett L�c�
5