HomeMy WebLinkAboutRoof Affidavit 03/30/2020 07;55 A 1 I Area Roofing (FAX)7724646600 P,001{001
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# c&3— D.5a$'
licensed as a(n)C ntract r*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,8uliding,ResidenUPI or Roofing Contractor ar any individual certified under468 F.S.to make such an inspection.
On or about %3 0 ca0 I did personally inspect the roof deck nailln
P Ysnp a
(Date))
work at: p T fin'! y'"i2/'Ct? W gg.
(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 m t st 7igent), 1 j
fq I e -/,5Z5Q�a `�7
Signatu n Seal License#
STATE OF FLORI�DAq
cowry OF c &.rae-e
Sworn to and subscri�d before me this dd day of 20�0
by r c e 7 Who Is Dersonally known to me or who has produced.
as Identification.
Notary Public,State of arida f�:6
Signature of Notary: J /'
Commission Number: (Seal)
En
tivA�'p FAIrH MASON
�'�•••{' ¢ IVYCOhIM15510N#GG003939
r EXPIRSS:j=X2020
A``brf�r`� pwd.d awsudor lolmysmy=j
r ,