HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1 �
SCANNED,
BY
stbripNinh
Re: Permit # 1803-0632
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
l� William Lasky Jr , 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.
n i
On or about '��. I did personally inspect the roof deck nailing
(Date)
work at: 12001 ORANGE AVE FORT PIERCE,] FL. 34945
(Job site address)
Based upon that examination I have determined 'the installation was done according to the current
edition of the Florida Existing Bu ing Code Section 708 or the product approval submitted (whichever
is most strigent). %i
Signature and S
CCC 1326188
License #
STATE OF FLORID COUNTY OF 'u uemvv,yok Sw to and bscribed before me this � day of Wkt. 20_g
by Who:is.personall k own to or who has produced
as Identification.
Notary Public, State
Signature of Notary.
Commission Number: (Seal)
En
DEBORAHL.AVSTIN '
k; Commission#GG165615
Expires January 6, 2022
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