HomeMy WebLinkAboutRoof Affidavit 02/2/2021 07:24 AM TO:17724626443 FROd:7724646600 Page: 2
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
Re: Permit# o-/U
1,&Af-kLC?GT;W,S, licensed as n)Cont�/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 c�-a I did personally inspect the roof deck nailing
(Date)
work at- / Libion kco - l 3c GS
(JA site address)
Based u n that examination I have determined the installation was done according to the current
editio}� f the lori E ' ing Building Code Section 708 or the product approval submitted(whichever
is� strig t).
v
Signature a eal 7 License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribgd brffore me this`c day of br � 2007/,
by jrYt/:F.,c) n H r Who ispe[sonally known to me ol4vho has produced
A as identification.
Notary Public,State of t
ida4?6�h
Signature of Notary: d�/
Commission Number: (Seal)
En
P ..
... . FAITH MASON
CommissW#GG W0757
N'v �o` Expires June 20,2024
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