HomeMy WebLinkAboutRoof AffidavitPlanning & 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# 2D)ol — VH
I, i' K CO -A ,A , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F5. to make such an inspection.
On or about ld -
(Date)
work at:
-2-0d-0 1 did personally inspect the roof deck nailing
,jr
site address)
c , PL 3W86
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 strigen .
Ccc
Signa tire and Seal License #
STATE OF FLSRFBA- Co iOCC-JU
COUNTY OF `('_ �RrSC n
Sworn to and subscribed before me this � day of 0ecernbee- 2oS
by �h � C o J �v . Who is personally known to me or who has produced
�L Pr $ 2 as identification.
Notary Public, State of Florida
Signature of Notary:
-'�'4
Commission Number: (Seal)
En
=ID#20204011765
odrich
BLIC
ORADO
04011765RES 0312712 4