HomeMy WebLinkAboutRoof Inspection Affidavit 8-29-170812912017 07:18 LUVIANO ROOFING ftX)863 357 3566 KOO1 fool
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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
:O q0G e'q
Re: Perm aa;' `
I, WkA � uVv ('ensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Bulldlno, Res/de a! or Rooft hg Contractor or any individual cert(fted under 488 F.S. to make such cm Inspection,
[
On or about ( I did personally Inspect the roof
I(bate){��I
work af: � r--t p' ,6r C l f� 4 P'9 Z-
(Job ite address)
Base upon that ex inatign I have. dlt ermined the Installation was done according to the current
editl n of the Flor!pla Exists g Building ode Section 708 or the product approval submitted (whichever
Is 4st strigent).
L.t.C. I ST ( -3
3S_
and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn ,�°gL,and subscribed before me this day of f 20�
by U/,11-i,( (64a/� . Who Is personally known td4e orwho has produced.
as Identification.
Notary Public, State of FI
Signature of Notary:
Commission Number; (Seal)
En
" '• MARLINA GODINEZ
My COMMISSION 0 GO114238
,, EXPIRES June 13, 2021