HomeMy WebLinkAboutRoof AffidavitPlanning & 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 #_ DLl - QI3CA
Robert Donovan ' licensed 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 �- 6- 2-\ . I did personally inspect the roof deck nailing
(Date)
work at: 5401 Stately Oaks St
(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 strigent).
CCC1330489
Signa u and Seal License #
STATE OF FLORIDA
COUNTY of Palm Beach
Sworn to and subscribed before me this i'� day of 202�
by Robert Donovan Who is personally known to me or who has produced
as identification.
Notary Public, State �ofFlorida
Signature of Notary:
Commission Number: GG930883 L; CHRISTA-INNSALMONSON
( '� GG 9308$3
MY COMMISSION #
En'�FOF F��`Q . Bonded ThN NolaEXPIRES: March 10, 2024
`ry �'br4Underyrdters
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