HomeMy WebLinkAboutRoof Inspection Affidavit1012712017 15:12 LUVIANO ROOFING — TA)I�,1363 357 3566 P.0011004
t
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
ROO F INSPECTION AFFIDAVIT
Re: Permit # n 1y =2z� (a
I,0 ijt( �UV W fIQI licensed as a )Contractor* ngineer/Architect
(Please print name & circle license type *FS468 Building Inspector
*General, Building, Residential arRoojing Contractor or any individual certf ed under 468 F.S. to make such an inspection.
On or about / o z- to I did personally Inspect the Lgof deck nailing
(Date)
work at:
(job site address)
Based Ppon th t ex#nInation I have determined the installation was done according to the current
editloo of the]Plori& 7Usting Build Code Section 708 or the product approval submitted (whichever
Is mos strig n0.
sihnature and Seal License ##
STATE OF FLORIDA /
COUNTY OF p �•
Sworn to and subscribed before me this 'Z day of 2Q�
by L� I U ASV f MU_. Who is personally known to me or who has produced
as identification.
Notary Public, State of Fri Id
Signature of Notary:
Commission Number: (Seal)
En
'AI""''r?, MARLiNA GODINEZ
e My COMMISSION # 00114236
RECEIVED OCT 2 7 2017 .,r„ EXPIRES June 13, zozl