HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
o a M Fort Pierce, FL 34982
—_=---- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ` '
I,$camA0V%Vi tKfaV 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 F.S.to make such an inspection. V.
On.or about 1 ho 1 D0,30 I did personally inspect the roof deck nailing
(Date)
work at: (0 JA-3 � 5 ` t T2CC'aG�, P6('+-S-�.LUC'ke.iPf.
(Job site address)
-=Based:upon=that=exam ination-1=have=deter-reined-the=installation-was-done-according-toAhe-cur-rent==----_-__
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
ent).
- CGG(33 ao
nature and Seal License#
STATE OF FLORIDA_
COUNTY OF -1_�uC�9.
Sworn to and subscribed before me-this day of ADQ-C vz)p a2 . 2 6 ,
by ��f�`v,��k�v(� who is-personally known to me or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary: mtA. Gina Ddmedico
Commission Number: �6 Jt VS i3 NOMyjPUBUC
STATE OF FLORIDA
En w r CommM GG165138
® Expires 12/4t2IYL1