HomeMy WebLinkAboutRoof AffidvitPlanning & 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 # 6LC- 2011.-o2.70
I,osc'&►2 ZIN1, licensed as a( 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 Dec- 0 20W I did personally inspect the roof deck nailing
(Date)
work at: N00-3 01144L OW 1`,'D -
(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).
Rm h �VCAC 152D50°Z
Signature an Seal License #
STATE OF FLORI A
COUNTY OF '
Sworn to and subscribed before me this day of _ 20
by D5G%X'- t"rOZ, ifV wh is erso II to me or who has produced
as identification.
Notary Public, State f FI a
Signature of Notary:
Commission Number: G(Seal)
En
_01 °C(. Notary Public State of Florida
MaryW1 Martinez
My Commission GG 270975
'' Expires 10/24/2022