HomeMy WebLinkAboutRoof Inspection affidavit - Permit # 2010-0574Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
* Fork Piercer FL 34967-
772-462-216 5 or 772-462-217 2
Fax:772 2-6443
ROOF INi5PECTION AFFIDAVIT
Re; Perm It .92010-0574
Roland Wi ley IJ r�Se a 5 a n6;;)E ngicleer Arch iteet
(Plea se print dame & CI rel2 license type) * FS468 Building Inspector
* 6eneFEli, He:"6ent- Qf -'Wag C'rtMIQ yr Cr MY Wd�-dully renif7ed uYM'--r 468 F.S. to make swA an rmpecuco-
On -or abo ut 11-12-2020 1 did per5ond Ily i nspect th a roof d eCk riailin
Mate)
work at: :52:23 Palmetto Drive
(Jog site addreso
Based upon that ekarrrin E tro n I have d eterm i ri" the i nstallatl o r) wa s done iactarding to the Cu rrent
edition of the Fl-arida Existing Building Code Section 708 or the prod uct a pp rowal subrrritted iwhieh error
i o5t $trig nt )_
Slgrratu re an d Sea
STATE OF FLORIC A
CO41 NTY OF
CCC 33117D
License #
SW an sobs i d here vie this <Jay of -)u .2-09
hY 7 why is sonallyr know" t rmrt or who 'has produced
_ as idea ki iliu n_
"ary PU bliEr State of Floryd
5lgrlature of NQt.pry+; _. M L BRANDY MOORE
` Notary Puol.C-51frP a! F IDjide�
mrr1a55i n Number' Cornmiriion 0 G431025Myr CorrLMiwon ExDira
En 4^ ,�r�� ` May 09, 302 1