HomeMy WebLinkAboutRoof Affidavit 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# SLC2011-0371
Michael Zabitosky , 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 p ZO I did personally inspect the roof deck nailing
(Dat )
work at: 7100 Brookline Avenue. Ft. Pierce
(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 strigent).
CCC 1330062
Signature Seal License #
STATE OF FLORIDA
COUNTYOF WNAO V-WE—R— „L�,
Sworn to and subscribed before me this —I ' day of t*CJEMP—G� 20J
by M\CJAAC L Who is personally known to me or who has produced
as identification.
Notary Public,State of Floridi
Signature of Notary: � ia�
Commission Number: GCS 9 3 7 tF S I (Seal ;'i✓ °.6.. ARTHUR CULLEN WARNER
Notary public-state of Florida
En `+H '. Commission p GG 937451
'""' My Comm.Expires Dec 5,2023