HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
j� 4\ Building& Code Regulation Division
71
2300 Virginia Avenue
11 �`f Fort Pierce FL 34982
772-462-2165 or 772-462-2172
Fax., 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#GL-c
I,k cavE�r1 :Ilutu uy'L, 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.
On or about o'Ip 1 `�15 . I did personally inspect the roof deck nailing
(Date)
work at:. W-1-� ��C - iV6'6n ��CCc�G2
(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 ent).
and Seal License#
STATE OF FLORIDA
COUNTY OF 5�a LUU{?
Swo to and subscribed before me this day of �2C wAw 200 0
by ��c-vvJe rA V/(j 1 Aecy..)u'e— . Who is personally known tome or who has produced
as identification.
(Votary Public,State of FI r'da
Signature of(Votary: $4tE 'I'Ve
Gina Deimedico
Commission Number: �� �(D� � 1 NOTARY PUBLIC
STATE OF FLORIDA
EnComm#GG165138
Expires 12/4/2021