HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT2018-03-01 11:07 M,^-79 Roofing Inc. 17728789051 >> 771 626443 P 1/1
Planning & Development Services SCANNED
Building & Code Regulation Division BY
2306 Virginia Avenue St LUde COMY
Fort Pierce, Flo 34982
772462-2165 or 772-462-2172
Fax: 772-462-6443
1
ROOF INSPECTION AFFIDAVIT
MAR 2010
Ice: Permit # / �6 �, •"
I,]iaS' UCc. 14icensed as a( Contractor* Engineer/Architect
(Please print name & circle license typ *FS468 Building Inspector
*Generoi, Building, Resldentlol or Roofing Contractor or any ind1u1dual Certified under469 F S. to make such an Inspection.
On or about / I did personally inspect the roof deck nailing
(Date
work at: , C &L S'i'lo
(Job site address)
Based upon that examination f ermined the installation was done according to the current
edition of the Flor' i t3uil ' Code Section 708 or the product approval submitted (whichever
is most nt).
133 / o �
Signature and Seal License #
STATE OF FLOi�/�,.. ) _ , G
COUNTY OF �1 !.�
Sworn to and su scribed before me this day of �'lA-f7.f! �i-� — 20�
b�fZLCGi r+,hriaP Who is personally; known to me or who has produced
_ as identification.
Notary PublIG, State of Florida / �,• f
Signature of Notary;
Commission Number, (Seal)
DAVID VAr1DERFLIER
5n o,� It MY COMMISSION #FF099550
y�...... '.
EXPIRES M;)rCh 9, 201$
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