HomeMy WebLinkAboutRoof Inspection Affidavit 12/28/2020 13:01 (FAX) P.001 002
• I
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
1-#��5�
i
ROOF INSPECTION AFFIDAVIT
Re; permit#
I, 04/40- 4-4/q , licensed a(n)Contractgr Engineer/Architect i
(Please print name&circle license *FS468 Building Inspector l
*General,Building,Resldentlal oe Roofing contractor or any Individual certified under 46B F,S.to make such an inspection,
/ / I
On or about ! . �l , I did personally inspect the roof deck naillne j
(Date)
i
work at: 2 Z-/ 5 r'tac l��l ,r ,�d �r� �! rc p. ,
(Job site address)
i
Based upon that examination I have determined the installation was done according to the cu rent
edition of the Florida Existing Building Code Section 708 or the product approval submitted (w lchever
is most str�gn
�— Mature and Seal License#
I
STATE OF FLORIDA
COUNI'Y OF ✓L[,*,dj 4i
Sworn to and subscribed before me this day of �. ,tz�Y 20 x°
by 121E _ 64�t Who is personally known to me or who has produced
as identlflcation,
Notary Public,state o lorid
Signature,of Notary-
Commission Number, G (Seal)
En
I I
,�Oq"&'U
THERESAJAFFE
Notary Public-5tate of Florida
;a' My Comm,i Commi GG ssion
ApOZ30o22
Bonded through National Notary Assn,
I
I
I I