HomeMy WebLinkAboutRoof Inspection Affidavit I _
10/3112017 09:21 px} P.0011001
_ Planning&Development Services
' r Building&Code Regulation Division
2900 Virginia Avenue
Fait Pierce#FL 34932
772-4Q-27.69 or772-462-2172
Fax:772-462-6443
ROOF INSPEC110N AFF1lDe4V1T
licensed as a(n)Contractors`/Engineer/Architect
(Please print name&circle license type) +FS458 Building lnspettor
*aenera4 auihllnq,Resfdenudl orRooft Gvrrercctororony Pndhldual certfed under468 F.S to makO such an lnspecl90n.
On or about 1 did Personally inspect the ro f deck nal f
(Date)
work at: fl tea.ea
(Job site address)
Based upon that examination 1 have deterrnined the installation was done according to the current
edition:of the Florida Existing Building Code Section 708 or the product approval subrnitted(whichever
Is moststrigent).
Signatur d License# .
$TATE OF Fl.g{tI Ask
p
sworn to and subscribed before me this l� day of ti 20n
by __ Who is personally knawn to me or wha has produced
as identiflcatfon,
Notary Public,Statev FI rido '
Signature of Notary
Comm ssion Number: a (Seel)
* TARA LEA MATTHEWS
MY`C',OMMISSION#GGt.27632
�. EXPIRES July 24,2QZ1