HomeMy WebLinkAboutRoof Inspection Affidavit 12/2112020 11,51 (FAX) P.0011001
Planning& Development Services
Building&Code Regulation Division
• 1' g g
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772.462-6443
ROOF INSPEC.TION AFFIDAVIT
Re: Permit# 241l— 032 q
1,INi CS kj5g A , licensed as a(n ntracto /Englneer/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 1 Z( "!,1 ZQ 1 did personally inspect the roof deck nailing
(Date)
work at: 2'777 A(U) H-4194 E W- C.% 641,,E Cr
(Job site address)
Based upon that examination 1 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 strigen
Ig ture License#
STATE OF FLORIDA
COUNTY OF M ark � rl
Sworn to and su scribed before me this 7-/ day of 10 t 20
by flu- I.Ar g Who is persona gown to me r who has produced
as identification.
Notary Public,5ta of FI
Signature of N
Commission Number: i9a, a"d0 (Seal)
En
1Y'P'^w THERESAJAFFE
Notary Public-State of Florldl
V Commission 11 GG 202301
'�ovn mycomnt,F.xplresApr 1,2072
9orlded through National Notary Assn.