HomeMy WebLinkAboutRoof Inspection Affidavit1012712017 ' 1.5:12 LUVIANO ROOFING
TAX)863 357 3566
P.0021004
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34992
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit it—Z2�0—Z 6
1, I ' ° ii nse as a(n)Contractor*/Engineer/Architect Inspector
(Please print name & circle license type) F546a Building
"General, RuNding, Residen"al or g11ng Gantmdar or any 1ndNldual cortUled under 458 F.S. to make aach an kapectlon.
On or about v1 did personally inspect the roof deck nai
lim
(pate) /Q
work at: `"
(job site address)
Based pon that examin I have determined the installation was done according to the current
editio of the Florida s g have
Code Section 708 or the product approval submitted (whichever
Is mo strigent).
� L3-3—nE
.. a coal License #
STATE OF
COUNTYC
V L cfi 20�,,•�
swo to subscribed befgre me this day of r'
by � ((,(,•l� j ,U ,Who Is personally known to me or who has produced
as identification.
Notary Public, State of F r —�
signature of Notary: (Seal) .
Commission Number:
En
MARLiNA GODINEZ
1017 ; �Y "'- MY COMMISSION !i GG114230
EXPIRES June 13, 202-1
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