HomeMy WebLinkAboutROOFING INSPECTION AFFIDAVITCOUNTY`''.
F L O R I D A
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 # —fZC — / d-- 03 S'�
licensed as a( )Contractor /Engineer/Architect
(Please print nam &circle license typ *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: Zd2.2s T L.C. r' 4- �led"j �,•- , 1 v
(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 708 or the product approval submitted (whichever
ism n .
e and Seal
STATE OF FLORID t A \ nA n
COUNTY OF \J\1\JW
r L 3 a IV
License #
Swor top lc ubsgHj)e fJ before me this I day of Duu*�( 20J
by G1 1 cc \ \\ Who is personally known to me or who has produced
Y1 as identification.
Notary Public, State of Florida
Signature of Notary: YL��u i e,
Commission Number: 5 (Seal)
En
Monika K. Mlelcarek
State of Florida
MY COMMIsslon Expires 12/18/202,'
Commlaslon No. HH 57106