HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITF
OUNTY'`
L O R I D A -
Re: Permit # 1711-0715 "
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 Q
772-462-2165 or 772-462-2172
Fax: 772-462-6443 DEC 5 ?o»
ROOF INSPECTION AFFIDAVIT
I� MAURICIO ORELLANA , 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 468 F.S. to make such an inspection.
On or about / V—/I did personally inspect the roof deck nailing
(bate)
work at: 5104 LA SALLE ST. FORT PIERCE, FL 34951
(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).
A, .l.lu�
Signature and Seal
STATE OF FLORIDA
COUNTY OF T- �-�L\ G-
CCC-1330623
License #
Sworn to and subscribed before me this 1�day of Pece,-"Lie"" 20 (a
by Wm.\vcC\CA\ OAQWa\M;�&— Who is personallyknown to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: { a
En �aiRY' . PAULETTE BLAIR-ALEXANDER
.�' Notary Public - State of Florida
h ��= Commission d FF 995699
�•;, �c��f�o •� My Comm. Expires Sep 8. 2020