HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
COUNTY
M Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # G L— ---2 ) D L 0(.)3q
I, �C OWN Vti11 t4�glcensed 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 .JIiAU-a„ ';1,') i )I , I did personally inspect the roof deck naili
(Date)
work at: L753 DA,'y Saki :RuMt ?,,r-4- 5-%, Az e R S 4q5-Z
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florid Building Code Section 708 or the product approval submitted (whichever
is most stri rt�.7
r! 6� 133 6tl`UaQ
S gnat nd Seal License #
STATE OF FLORIDA
COUNTYOFSk.�-(
Sworn to and subscribed before me this day of 20a �1
by Aa0✓t V Il tr agiot�- . Who is personally known to e or r who has produced
as identification.
Notary Public, State of Florid (
Signature of Notary: LAJ9YKtedlLML&A Gina Delmedico
Commission Number: C-,(�,„� ; •zcy $Vc�siv�
NOTARYPUBLIC
STATE OF FLORIDA
En Comm# GG165138
Expires 1214/2021