HomeMy WebLinkAboutRoof Inspection Affidavit 8-10-17i 0812512017 13:39 LUVIAHO ROOFING TAX)863 357 3566 P.0021002
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
Re: Permit#
I,MW IUFVI aAO , licensed as a ontractor*/ gineer/Architect
(Please print name & circle license typ *FS468 Building Inspector
*Genemt Building, Residential orRoofing Controctoror any Individual certPed under 468 F.S. to make such on Inspection.
On or about" (p � 4-7 .1 did personally inspect the roof deck nailing
(bate) �1
work at: `0 a I V14T, Lt
'7 (Job site address)
upon tI
i of the
is
STATE OF FLORIDA
COUNTY OF
I have de
rmined the Installation was done according to the current
Buildin Code Section 703 or the product approval submitted (whichever
�. 2`-6
an Seal License #
Sworn to and subscribed before me this 4� day of A '- 20177
by OSl.4a . 4 e U.l:.Gl...t _... Who is �a r a�to me or who has produced
as Identlflca�7on.
Notary public, State of FI rida
Signature of Notary: day%_ MARLlNA GODlWEZ
Commission Number: (Seal) ;*- MY COMMISSION # GGi 14236
En , „
01
6xPIRR3 June 13. 2021
RECEIVED AUG--2 5 2017