HomeMy WebLinkAboutRoof Affidavit 01.11.2019 03:02 PM 8637637662 P 1
Planning& Development Services
:? ,� I ') Building& Coda Regulation DlvisI
on
2300 Virginia Avenue
'COUNTY
0 , I D A Fort Pierce, FL 34992
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPgg=AFFIDAVIT
Re: Permit# 2a4 41— �
1, U 'p licensed as n)Co�- sjpector
"Engineer/Architect
(Please print name&circle license type) *FS4
`General,Building,Residential or Hoofing contractor or any Individual certlfled under 468 F.S.to make such an Inspection.
On or about caO, I did personally inspect the roof deck nailine
(Date) r
work at: q, -G -�r*ci� �-- 7
(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 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License# -
3TATP_OF PLORI OA
COUNTY OF (, f .,e.
Sworn toand subs cr ed efore me this_° .—day of - 20c� b
by (7 4R Who is personally known to ma ho has produced
as en
Notary Public,State of FI rid
Signature of Notary; ----
Commission Number: (Seal)
En ovig 2o11
HEATH R.EDWARDSON
MY COMMISSION#GG 215105
:$I Qo6 EXPIRES;May 21,2022
''P�f rt4' Bondcd 771ru Nolory PU C U:ulorivdtoro