HomeMy WebLinkAboutRoof Inspection Affidavit 11/12/2020 13:12 FAX 121001
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: permit# 2010-0609
1r David Packard , 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 certIfled under 468 f.5,to make such an inspection.
On or about 11/12/2020 . 1 did personally inspect the roof deck nailing
(Date)
work at- 3108 Bent Pine Dr.
(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 709 or the product approval submitted (whichever
is most strigent).
CCCA17517
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF St. Luci8e
Sworn to and subscribed before me this 12th day of November 20 20
by David Packard Who is personally known to me or who has produced
as IdentifIcation.
Notary public,State of Florida
Signature of Notaryy
Commission Number:
v's M•n••. SIEPMANIE P.$MITH
En i NotaryPublk-StateoFFlodda
Commission N GG 139524
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