HomeMy WebLinkAboutRoof inspection affidavit Planning& Development Services ,
_ '- Building& Code Regulation Division
011 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#-e�L ZQIO --02( -
l,'Eyem ri'nc J l,,n licensed 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 . I did personally inspect the roof deck nailing
(Date)
work at: 2]0 5 C�2EE y8gtX p L ij, 'Pl L /
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio he Florida Existin Building Code Section 708 or the product approval submitted (whichever
is mo t stri r
CCC 1'6--za63-
Sign re a License#
STATE OF FLORIDA
COUNTY OF t\AO li'�-I'Q !� `I `,
Sworn o and subscribe b fore me this `5 day of l�1bVe—M►6.eK 20�O,
l�by 1, o U OL. Who Is personally known to me or who has produced
as Identification.
Notary Public,State of FI ri a
Signature of Notary: ai ,�"1v , KATHRYN D'AMATO
1PN nVS .
_:N otary Public-State of Florida
Commission Number: e a_L .; Commission it GG 905979
11` My Commission Expires
En ii `` Septomhor 14, 2023
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