HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITApr 2418,11:41 a
1
By
Re: Permit # 1804-0613
1Michael Miller licensed as
(Please print name & circle license 1
"General, Building, Residential or Roofing
Onorabout 04/24/2018
(Date)
work at: 373 NE Bracken Rd, Poll
Planning & Development Services
Building & Code Regulation Div 'on
2300 Virginia Avenue
Fort Pierce, FL 34982 ,
772-462-2165 or 772-462-21 2 410
19
Fax: 772-462-6443-
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VSPECTION A Co4n�y per��tti
FFIDAVIT n9
Michael Miller
PO Box 132C8
Ft. Pierce, FL 34979
eer/Architect
*FS468 Building Inspector
aronkindiuidual certified under468 F.S. to makesuch an inspection.
I did personally inspect tine roof deck nailing
FL 34983
site §ddress)
Based upon that examination 1 have etermi red the installation was done according to the current
edition of the Florida Existing Buildin Code S ction 708 or the product approval submitted (whichever
is most�trigE.nt).�1
,y j li
Signature and Sea I
CC C057399
License #
STATE OF FLOR
COUNTY OF
Sworn to and subscribed ore me this day 9f Y ( 2�
by \f t C1i1 Q 1 Lji ✓. Who is p�rsonaify'kno' n"to rr�e or who has produced
as identi ication.
Notary Public, Stat f F-�rid ^ IEA
Fsllcia Lyne Wilkin
Signature of Notary—t ' G, ; j����( ��� NOTARY PUBLIC
Commission Number: �� ir: 1 f`���`w ' 4 (.� (Seal) STATE OF FLORIDA
Pl'tr
Comm# GG103866
En Expires 9142021