HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITMar28 18, 11:10a P•1
SCANNED
BY
Panning & Development Services
" ::i J Building & Code Regulation Division
2300 Virgi
• .:�:.^-�a�:�::;:�:-,: -':.; nia Avenue
Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172 2
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Fax: 772-462-6443 <41n
ROOF INSPECTION AFFIDAVIT
Michael Miller
1803-0444 PO Box 13?_fi9
Re: Permit # Ft. Pierce, FL 34979
Michaet Miller , licensed as a
(Please print name & circle license tv
*Genera; Building, Residential or Roofing Contra
On or about 03/2812018
(Date)
work at: 5309 Stately Oaks St, Ft F
Based upon that examination I have d
edition of the Florida Existing Building
is most strigent). ,?
VEngineer/Architect
*FS468 Building Inspector
or any individual certified under 469 F.S. to make such an inspection.
did personally inspect the roof -deck nailing
, FL 34981
site address)
ined the installation was done according to the current
Section 708 or the product approval submitted (whichever
CC C057399
Signature and Seal
License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of \OL/`-G � 20
by }r\'l- Who is sonally k own o or who has produced
as identif'cation.
Notary Public; Stat of FI rid
Signature of Notary; �;-
Commission Number: (-� �� l03 'C�Z> U (Seal) Felicia Lyne Wilkln
(VOTARY PUBLIC
En STATE OF FLORIDA
Comm# W03866
Expires 9i4am