HomeMy WebLinkAboutRoof inspection affidavit - Permit # 2012-0447Plana i ng & Deve I oip rnent See rvices
_ Building & Code Regulation Division
0 23001{irgi nia Ave n u e
Foft Pierce, FL 34982
i 777-46 2- 2165 or 77 2 2-2172
Fax. 772-482-6 3
ROOF INSPECTION AFFIDAVIT
R-e: Permit 4
GL �
I, VG ire sad a a�orktrato * /Engioee r/Architect
{PI85e prim riam e & Idle I ieen se t�{Pe ' FS� Budding I rrspeekr
Cer)Eyae, @Wilding, Rj?jide17tfpf pr RavfP tq COntF0CCar ar C3RY M dl P+MI e'&F0ea L01drf 4Es F.I rP -pier A-L CA 130 fr'9W a 1.
On or about k — I - I did personall-y inspectthe roof deck naiIi
[sate] qj
--Lwork at. 1
(Job site address
cased upgo that examin ation I have detarmi(i ed # he in stall ation was d o n e acpording to the -Cu rrent
edition of the Florida Ex ist M g B ui I din g Code Section 7()8 or th a prod uct a pproval su bmi�ttk--d twhicheaer
i oak str�gent�.
Signature anti Seal
STATE OF FLORIDA
COUNTY OF
N C
License #
Swo -0 rid so scribed 43eWr . me mis r i - Udy PI I a cL4-.,2-,d
by �. Wiho is personally known to me 43r Who has Prafluced
as idrentif►cat-101n.
Notary Public, State of Flarlda
Signatur-e of Rotary: +r r4� BRA1,{p'YYODRE
Comrntssion Nurmt�-r;
* F*Mh11jr0,201
E n a r MMM hWAW Ph"k*M M