HomeMy WebLinkAboutRoof Inspection Affidavit O 01/08/2021 6:08 AM 17724947692 >17724626443 pg 1 of 1
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
11 Fort Pierce, FL 34982
.......... . .... . .......:.:.:.:...,. .•.. 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#_S Le, 2.1 O 1 ,O 17-
1,WiKl "(-P.V , licensed as a(n Contracto /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.
11!30
On or about I did personally inspect the roof deck nailing
(Date)
work at: �ZoZ E-me--son
(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 Stri
i� C2_fLi;l.
':gnat a and Seai License#
STATE OF FLORIDA n
COUPMOF _IQC11�y1 Kt V
Swom toA i end to
bef9re me this day of�� ;� 20z)
by_ o &.9 Who is pWdn_WYVWn to me or who has produced
as Identifi
Notaryy Public,State of Florid _
Signature of Notary:
Commission Number, �--'y^��a. {g i ""'�% DANIE E SPEAK
! mStete of Florida-Notary Public
�. Comrniasion A GG 217794
s'••i ,ti My cm 10,2pires
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