HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2101-0461
I Robert Dillon Jr. , licensed as a(n)Contractor*/Enginee r/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 1-27-2021 , 1 did personally inspect the roof deck nailing
(Date)
work at: 8605 Lakeland Blvd Fort Pierce, Florida 32951
(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).
Signature and Seal
STATE OF FLORIDA
COUNTY OF �a
CCC1331348
License #
���% -tH
Sworn to and su scribed lam
before me this — day of ytu-qr201 �
h., IR i 1.1, evto is aersonaily know o me or o has produced
as 'dentification.
IVW
Notary Public,,State of FlonNotaryPubAcStMeofFbride
Signature of Notary:RicherdTGOrdONo77o57
Commission Number: (Seal) TW&N
to �25
En