HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
C L, L\ \ : �%` Fort Pierce, FL 34982
L= L L L: L L Z;
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 210-0147S
if r"Jyr\V;U-%NwU*censed as a( Contractor /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 ��bruA4 K �� o�0o"t!, I did personally inspect the roof deck nailing
(Date)
work at: 4-734, j%iGbdAlAYte�/Y Boct V. .%>,►C� 3 tSa
(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).
4
Signatur 6 WSea
STATE OF FLORIDA t
COUNTY OF Sf. LUtp JCL
ccr. 133 1 ga s
License #
Sworn to and subscribed before me this day of F !'u.e►.rt 20a
by %/t KAU4 4.V-e_ . Who is personally known to me o who has produced
as identification.
Notary Public, State of FI i t
Signature of Notary
Commission Number: (Seal)
En
Gina Deimedico
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG165138
Expires 12/4/2021