HomeMy WebLinkAboutMilnerSheathingAffidavitPlanning & Development Services
JE�` = J _J J- Building & Code Regulation Division
lie 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # a�tia `D l 15
1, ZZI15ri14- . 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 d-1 Jew -ea-( �/3 � , I did personally inspect the roof deck nailing
(Date)
work at: �r l U3 Goa 1� nLS ClWolt. Wes+
(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
COUNTYOF Iki&an 1?.iWr
d6G�R'L1
License #
Sworn to and subscribed before me this ( of rtbru-`W 2021
by S[P j z �e4yr a Who is ersonally know o me or who has produced
as identification.
Notary Public, State
Signature of Notary:
En
SA
Jill K.Bamberg
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG254409
Expires 8/3012022