HomeMy WebLinkAboutRoof Affidavit 0410312020 13:57 (FAX) P.0011002
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Ip Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#W3—c9-702,
I,_a-vow AfAaajaj!censed as a(n Contracto /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential orRoafrng contractor or any Individual certified under 468 FS.to make such an inspection.
On or about —0 1 did personally inspect the roof deck nailin
(pate)
work at:/ ��� GLu 6WIF-W6961®
(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).
ignature and Seal License#
STATE OF FLORIDA
COUNTY OF.
Sworn to and sub cr bed before me this 3 r� day of�r_f l 20 0,
byIYJJL9-U .77A4:61F,?__ . Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida a
Signature of Notary:
Commission Number:" (Seal)
En
Not.1yPubtic State Of P16da
• Maria A Molina
My Cammiselon GC 29 717t32
' �OrtL t:xpire�d4/z5/�D22