HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITRe: Permit # I gd q— —Q
I, C 11 1^ IS . licensed
(Please print name &circle liven
®! Planning &.Development Services.
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-
Fax:772-462-6443
ROOF INSPECTION AFFIDAV 44Y
er 03
St mitt/179 1?018
C J�J U% C epart�i
4nty� F� nt
a (n)Co ntra cto r*/Engineer/Architect
type) " *FS468 Building Inspector
*General, Building, Residential or Roofing. contractor or any individual certified under 468F.S. to make such on Inspection.
On or about M-6� V 2—YI C{ 6& 1 did personally inspect the roof deck nailing
(Date) / I
work at: g20 j�
I' (Job site address)
Based upon that examination 1 hve 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 and Seal
STATE OF FLORIDA V0 iC)S,Frr,,
COUNTY OF ( �l
Sworn to and s bscribed �btefore�//"�me this
by (?hP1i �C37 �/ dtJ��'�vl V
as
Notary Public, State of
Signature of Notary:_
Commission Number:
En
C'CC 13-3/3vs
License #
+ � day of ! " '�-f Y 20LQ .
is personally known to me or who has produced
�pttJ�yA Roberta Bennett
o< o NOTARY PUBLIC
c a.STATE OF FLORIDA
Comm# FF962012
cE t91� Expires 1/20/2020