HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPEMON AFFIDAVIT
Re: Permit #
1,P, t licensed as a(n)Contractor*/Engineer/Architect
(Please print kame & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 E.5. to make such an inspection.
(Date)
work at: qjns� C�)e4;
( b site address}
Based upon that examination I have determined the installation was done according to the current
edition of the Floriq sting wilding ode Section 708 or the product approval submitted (whichever
is most strieentV f
License #
STATE OF FLORTt
COUNTY OF
Sw ' r to a sub'scri efo a this day of+i 2_,�
b . Who is onally known to me who has produced
as ideadficat'lon.
Notary Public, St to of or
l A J) Y-1144kl — — — — — — — — — — — —
Signature of Nota : j
Commission Number: (Se t�yv"v� •. MARY CAMPBEII
Notary Public -State of -Florida
En ` Commission M HH 034737
0' My Comm. Expires Sep 4, 2024
" Bonded through National Notary Assn,