HomeMy WebLinkAboutRoof Affidavit 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
RECEIVED
MAR 2 � 1011
Re: Permit# NA�2"Q�15-3
perrni�ln9 Qe����t
_ yt,�ucle�o
I,PAN Ieu'e ler�/>f�! licensed as a( Contracto /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 -�3 / , I did personally inspect the roof deck nailing
fQ� (Date)
work at: 1/J fi0/✓��D/✓�� T1�✓C�• )GT l l eC
(Job site address)
Based upon that examination I have determined the installation was done according to the current
of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most st ' ent).
0 9/8
Sig re and Seal License#
STATE OF FLORIDA
COUNTYOF Sr L-UUE aA'
Sworn to and subscribe b fire,f e this a day of A4 202'
byV`1N1MC ley T'+`r Who is personally known to me or who has produced
as identification.
Notary Public,State ofprida
Signature of Notary: CV
Commission Number: (Seal)
En
ELIZABETH A.SCILER
* *Notary Public,State Of Florida
Commission No.HH74732
�''""♦My Commission Expires:12/22/2024