HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITr
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 # — `r
l� MAURICIOORELLANA , 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 ! S I I did personally inspect the roof deck nailini?
(Date)
work at: 8213 MAIDENCANE PL PORT SAINT LUCIE FL 34952
(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).
CCC-1330623
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF � 1 • `=. \
Sworn to and subscribed before me this •" day of Scl n uA� 20�
by ,�Q *, "I V�1,8(ko is personally known to me o who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:--�-
Commission Number; _�
En
(S4QLETTE BLAIR-ALEXANDER
:Notary Public •State of Florida
Commission # fF 995699
My Comm. Expiree'Sep 6, 2020
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