HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services:
Building&Code;Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 1" r,`'E
772-462-2165:or 772-462-2172
Fax: 772-462-6443 LIAR a 0 2017
PERRJIITTING
ROOF INSPECTION AFFIDAVIT 5t. Lucie County, FL
Re: Permit#
03
� Jamie,Cisco licensed as a(n)Contractoe*/Engineer/Architect
(Please print name&circle license typ"e;) *FS468 Building Inspector
*General,Building,Residentiaivr Roofing Contractor or any'iridividual ceitif ed under 468F.S.to make such an inspection:
on or about .G . , I,did personally inspect the roof deck nailing
(Date).
: 1-2 � 0"
work at: �zf�J� ��, .)C�C'ci;,
(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 611 or the product.approval submitted (whichever is
most strigent).
COC 1327796
ignature and Seal _ License#
STATE:OF FLORIDA
COUNTY`C?F Martin
Sworn to and subscribed before-me this ��' day of ,t b 20
by Jamie Cisco Who is.personally known>o111e,orwho has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
'En 01j.19/2011 APO Puo Notgry Public State of-Florida
Marilyn Kluegel
�ea My Commission FF 230179'
Expires 06/26/2019