HomeMy WebLinkAboutRoof Inspection Affidavit e `
0 12/21/2020 1:42 PM 17724947692 ->17724626443 t Pg 1 of 1
Planning&'Development SeM' ces
` Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, F!34982
772-462-216S or 772-462-W-2
Fax:772-462-6443
ROOF INSPECTIQN AFFIDAVIT
Re: Permit#
I,wavil C�-,d license as a(n Contracto /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.
(3 J
On or about 2- Z y - 2O� . 1 j� i3 did personally inspect the roof deck balling
(Date)
work at: F Me,-Sot\ Rye, FUr+ i er
(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 QtrilzantL
KC2902--7 6z?
igna f e and Seal license#
STATE OF FLORIDA
COUNTY OF ndQfNP�V
Sworn to and subscribed 6ef re me this day of bt&M M/ 20 M
by nv l a -(J a 11� . Who is prdary n to me or who has produced
as identifi
Notary Public,State of Florid
signature of Notary: .-- -
Commission Number, � /i�.�- ( i .4 C?AN11*7
SPEAK
Sau of Fload ori!!e-Notary Publio
Commission 4 GO 217784
My Commission Expires
En I e► may 10,2022