HomeMy WebLinkAboutRoof AffidavitPlanning & 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
Re: Permit #
SLC-2101-0040
I,6harje.6 ,, p�, licensed as a(n)Contractor*/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 4(p L2 /2A21 , 1 did personally inspect the roof deck nailing
(Date)
work at: 761 Lomas St, PSL, FL 34952
(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).
Signature and Seal
CCC1332349
License #
STATE OFF RIDA
COUNTY OrRY1��CX
Sworn to and subscribed before me this °� day of 20 )
byC Y`CXy BSI -?NMn—, " . Who is personally known to me or who has produced
as identification
Notary Public, State oftp�rida
Signature of Notary: C'
Commission Numbe : 2 «I lam C (Seal)
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0% NotaryPunk State of Florida
Natasha Andrea Salazar
My Commission GG 296603
rExpires 01/30/2023