HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITs
SCANNED
Re: Permit # \At$- O$,S
I, l" l.3<< licensed as
(Please print name & circle license
*General, Building, Residential or Roofing
On or about
(Date)
work at: 4H 1
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
4P
sT ��c�e � <'d1g
Co4�
/Engineer/Architect
*FS468 Building Inspector
or any individual certified under 468 F.S. to make such an inspection.
I did personally inspect the roof deck nailing
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
ism strigent); n
Signature and Se
STATE OF FLORIDA
COUNTYOF
Sworn to and subscribed before me this
by KgNe►,4,
` — !D L as
Notary Public, Statue .lorida
Signature of Notary:
Commission Number:`t
r•
En
License #
day of 'A $ T 203A,
is personally known to me or who has produced
7ANNAjARIE GIVENS
MY COMt�71S �,G 022023
F,(PIRES: December 16, 2020
Bonded ihru Notary Public Underwdlers