HomeMy WebLinkAboutRoof Inspection Affidavit - Permit # 2101-0571`COUNT
Re: Permit #
2101-0571
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
Roland Wiley , licensed as a(n Contractor*Engineer/Architect
in
(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 2-22-2021 1 did personally inspect the roof deck nailing
(Date)
work at: 6006 Petticoat Place
(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
i ost strigent).
(N,-`��b I �
Signature and Seal
CCC1331170
License #
STATE OF FLORIDA
COUNTY OFF=
Swo to and subscribed before me this ��` jay of � 203,1
by l Who is personally known to me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary: LvC
Commission Number:11" 1
En
1ritY'°B, BRANDY MOORE
o Commission # GG 102839
* Expires May 9, 2021
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