HomeMy WebLinkAboutRoof Affidavit 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 2012-0557
1, Luis Quinones , licensed as a(n)Contractor* gineer/Architect
--i(Please print name pe *FS468 Building Inspector
*General, Building,Residential or Roofing contractor or any individual certified under 468 F.S. to make such on inspection.
On or about 1/15/2021 , 1 did personally inspect the roof deck nailing
(Date)
work at: 6875 BRONTE CIR PORT ST LUCIE 34952
(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 tr+gf):
7 CCC1331472
Signature and Seal License #
STATE OF FLORI
COUNTY OF -e
Sworn ands ibed before me this_day of 4: `- 20�J/
�� , Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
Man L Perez
En _ Cmm.I GG922604
_"• " Exphes:October 14,2023
s, Bonded Thm Aaron Notary