HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue SCANNED
Fort Pierce, FL 34982 BY
772-462-2165 or 772-462-2172 "'W urip rAinty
Fax: 772-462-6443
CEIVED
L
R - 2 2018
Re: Permit # 1$0 3 Q? 22 artment
ng Dep
�►A i�s cie County,�FL
I, F 4ICtAt Cam' ,licensed as a( Gontracto */Engineer/
(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 94- 1 I did personally inspect. the roof deck nailing
(Date) Q
work at: S�Fd) � �/ � C;f �- Pt&'c e 4ZL 5 9S-
(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).
Signature all Seal
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this o1,
by M• Cb a e 6 i ho is
s identii
Notary Public, State of Flo
Signature of Notary:
Commission Number:
En
C-CC / 3130 06' z
License #
day of 20
iersonal no n t-dyne or who has produced
(Seal)
iytiY
AUDREY B. HUMPHREY
MY COMMISSION # FF 174772
March 6, 2019
EXPIRES:
Bonded Thru Notary Public Underwriters
"i..!TL3t�i