HomeMy WebLinkAboutToombs Plywood AffidavittCNTY.
F
LORI
D A
Re: Permit # 2-DI i • o4eo
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
1, CMWO') licensed as a(n)Contractor*/Enginee r/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 2-F—) 1002,01 did personally inspect the roof deck nailing
(Date)
work at: ,C—)CL. [ �SCE CLV-dc'
(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
is most st 'gent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF 5�
ClLc I � 2(671-
License #
Sworn to and subscrib d before me this � �-�V1 day of3 Cr— _ 200,
by t'1 11�0� . Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori Da
Signature of Notary. _
Commission Number: NFPubiicStatadFlorida
`h Pla Jones
MmmissionGG 9&%70
En orw Expires0611512024