HomeMy WebLinkAboutRoof AffidavitCou wTY
F LORI D A
Re: Permit # SLC 2012-0615
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
lLuis Quinones ':-licensed as a(n)Contractor* Engineer/Architect
(Please print name & circ a is a *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 1/21/21 , 1 did personally inspect the roof deck nailing
(Date)
work at: 6600 COQUINA AVE 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
Signature and Seal
STATE OF FLORa�---f
COUNTY OF CNG! C�
CCC1331472
License #
Sworn t +and sub ibed before me this a/ 1-4 day of <7 Zp�`
by'G�`S Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
Ulan L. Perez
Comm IGG92P,8D4
4Dd80WW
Exphl: October 14,21021 Thru Aaron �i'i "