HomeMy WebLinkAboutRoof Inspection Affidavit i
mow,
Planning& Development Services
Building& Code Regulation Division
® 2300 Virginia Avenue�'
Fort Pierce, FL 34982
-- 772-462-2165 or 7727462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1711-0449 I'
I� Juan Martinez , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
11
*General,Building,Residential or Roofing Contractor or any individual certified under 468IF.S.to make such an inspection.
On or about •��C•�� , I did personally inspect the roof deck nailing
(Date)
work at: 5563 Kobleguard Rd., Ft. Pierce
I.
(Job site address)
Base\11othat examination I have determined the installation was done according to the current
editilorida Existing Building Code Section 708 or the product approval submitted (whichever
is mo
CCC 1336788
ign and Seal License#
I
STATE EOF FLO A
COUNTY OF
Sworn to and Oscribed,before me this �� day of _ 2I0�
by Who i ona �o me or who has produced
entification.
Notary Public,State ofMyrida
Signature of Notary:
Commission Number%C 4 ((Seal)
En I
��.Pe•��b4; BONNIE LOVITT
• MY COMMISSION#GG143436
�o •' EXPIRES September 17,2021
I
,I
Planning& Development Services
` - Building&Code Regulation Division
2300 Virginia Avenue
o , Fort Pierce, FL 34982,
772-462-2165 or 7721462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC 1711-0449
1� Juan Martinez , 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 too F.S.to make such an inspection.
On or about 12/19/17 , 1 did personally inspect the roof deck nailing
(Date)
a
work at: 5563 Kobleguard Rd., Ft. Pierce
(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).
CCC 13301788
S' ature and Se Licensel#
STATE OF FLORIDA
COUNTY OF Martin
Sworn to ancLs bscribed before me this .19th day of December Zp 7
by Who iscgaso me or who has produced
as identification.
Notary Public,State orida _
Signature of Notary:
Commission Numbe t I(Seal)
En
I'
4►a4'o�'• BONNIE LOVITT
MY COMMISSION#GG142
:ate•
%'?;F�,,.� EXPIRES Sptemher 17,2021
1211912017 06:41 P.0011001
a , o � gRwL61 Planning&Development Services
Building&Code Regulation Division
2300 Virginia Aven l e
Fort Pierce, FL 34982
� w,.°L {. 772-4624165 or 772-462-2172
Fax;772-40-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
SLC 1711-0449
1, Juan Martinez , 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 ander 488 F.S.to make such an insp'eetion,
on or about- 12/19/17 1 did personally inspect the'roof deck na(1(nE;
(Date)
work at: 5563 Kobleguard Rd., Ft. Pierce
(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).
CCC 133�6788
S ature and Seaj License#
STATE:OF FLORIDA
COUNTY OF Martin
Sworn to an s bscribed before me this 19th day of December Zp 1'7
by Z Who i rsona y. me or who has produced
as identification. ,
Notary Public,State o'rida
Signature of Notary:
Commission Numbef?e
(Sea[)-
En
��N I - - -
0�� At�iY C01vINUS_ION#GG143436c 1 2�C 1 t =" EXPIRES September 17,2021
e
partmen
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