HomeMy WebLinkAboutCrownover_Renailing_Affadavit.pdfLOME
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
OF INSPECTION AFFIDAVIT
F licensed as a(n)Contractor*/Engineer/Architect
(Please priWt7name & c
i ircle license type) *F5468 Building Inspector
*General, Building,RL.''idL"tial or Roof" Contractor or any individual certified under 468 F..S, to make such or, insDEction.
On or abou did personally Inspect the roof deck nailing
(Date)
work at:
(Job site address)
used upon 'that examination I have determined the installation was done according to the current
edition of th I e Florida Existing Building Code Section -708 or the product approval submitted {whichever
is most stri2entl-
Signature and,-"/ I
a Ucense #
STATE OF FLOR'[DA
COUNTY OF lz�
Sworn to and Albscribed before me tIw5_=_11J day of 271
personally known to me or who has produced
as identification.
Notary Public, ate of ,l ric}g
.
Signature of N tart'.
Le
CINDY VVEB'B
Commission Number- No, L 8f V Public -State of Florida
(Seal)
Commission # GG 312394
MCommission Expires
Fn Y May 23, 2023