HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
- Building & Code Regulation Division
f 7300 Virginia Avenue
` Fort Pierce, FL 34982
---- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re. Permit # 1rC- A� 0 �
l+ Robert Donovan , licensed as a(n)Contractor*/Engineer/Architect
IPlease print name & cisde license type) 'F5468 Building Inspector
`Generul, Funding, ResidenrialorRoofing[ontrocrororanyindividualcertifiedunder469F.S. to make suchaoinspecOon.
on or about I did personally inspect the roof deck nailing
(Date)
work at: i 404 N 43rd 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).
GEC 3 330489
Signs and Seal License #
STATE OF ROMA Palm Beach
COUNTY OF
Sworn to and subscribed before me trii5 _ day a1
lr6a1 2A ,
by Robert Donovan Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
5ienature of Notary' GG93Bl33 {Seal)
Commission Number:
En d
..
CIiRISTP LYHSALMONSON r
F` �ti �,;:
FsY Gp�1A{�,55LOH M GG 930883
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