HomeMy WebLinkAboutAffidavit 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
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC 2012-0256
l� Luis Quinones 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 01/05/2021 ; 1 did personally inspect the roof deck nailing
(Date)
work at: 3901 AVENUE S FORT PIERCE
(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 most strigent)...
CCC1331472
Signature and Seal License#
STATE OF FLORI
COUNTY OF
Sworn to a d subscr before.me this_ day of , 20
bye /S /��<' Who is personally known tome or who has produced
as identification.
Notary Public,State of Florida
i
Signature of Notary: --
Commission Number: - (Seal)
En
Ulan L Perez
Comm.$GG922604
4C * E1Ph$:October 14,2023
' Bonded Thru Aaron Notary