HomeMy WebLinkAboutRoof inspection affadavitm -
CouNTY
F L O R I D A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # SL C 21 of - O'Z- (.-S
d6u ro K—A ), tfo , licensed as a(n ontractor* Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or about \ / Z S / 2 ( I did personally inspect the roof deck nailing
(Date)
workat: 1-10S PirnroS2 Ct, &4Sf Luce IQ- - 49Y2-
(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).
CcC f332o3q
Signature and Seal License #
STATE OF FLOR
COUNTY OF I LC'c -e
Sworn to and subscri ed before me this O( C) day of=� 20
° Who is personally known to me or who has produced
f as identification.
Notary Public, State of lor'da
Signature of Notary:
Commission Number: _CX(� (Seal)
L`-=
te of Flondarts23 937056
En