HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT• •*
Planning & Development Services
Building & Code Regulation Division
I
® 2300 Virginia Avenue
® r Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443•
SCANNED
IV! PORO& ROOF INSPECTION AFFIDAVIT
Re: Permit # 90w W5q
I, 'nV E' Llicensed as a )Contractor Engineer/Architect
(Plea a print name & circle license typ *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 7-21— I g , I did personally inspect the roof deck nailing
(Date)
work at: i 1 (O 1 !f 1 C C.a[(I a Aye e ' V+
(Job site address)
9
CUGo��Ad��.
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).
C CC i 12&51 Li
Signature a d Seal License #
STATE OF FLORIDA `
COUNTY OF �4 (• ; A
Sworn to and subscribed before me this day of -:Sl) I 201
by T)oLmil s fE R o•e Who is personally known to me or who has produced
n as identificatio 7)
Notary Public, State o I a
Signature of Notary:
Commission Number: (Seal)
En REBECCA RESTIFO
my CORES: M Y 17.2021�1
EXPIRES:
aFR