HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITAFFIDAVITA
SCANNED
BY
St LuciewAF mr,
Re: Permit #1 804-0854
Planning & Development Services
Building &,Code Regulation Division
2300 Virginia Avenue
Fqr,t Pierce; FL 34982
772-46112165 or71,24.62-2172
Fax: 172-46266443
1100FINSPECTICIN AFFIDAVIT
David Packard license s a(n)Contrattor*/Engineer/-Architect
(Please print name &.circlelicen e type) #F5468 Building Jnspedor
*,General, Building, Residential or Rdafifigcantroctor or any individual certified under468 F.,S.to make -such an -inspection.
Qnorabout. 0,6105/2018 -1 did personally inspect the. roof deck hailing
(Pate)-
Way
work'at.. 7354 Pine,Creek , I
(job site address)
Based upbnthat ezattlinatioh'� have determined the :ihSt011ation- was done accordi , qg-to the current
,edition of the:Floridatxisting- Build.Ung-C.Qde Section- 708 or the product approval submitted (whichever
is, most strigent) —
7CCC-A1.7517
Signature and Seal'z
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to and.subscribeO before
by David Packard,
Notary Public,_ State .of
sign-atu re of N ota ry-�
Commission Numben.
En•
License. #
this 6th, daycf
Who is-peesoh'plly known.to1ne or Who has produced
:as identification.
ficatidn.
STEPHWEP.SMITH
""'r" ug, ZgNotary, pubitc �Statq of Floil&
�mljsloofGG,15§524 —LU-1. Co
:M' 6mrn,Upiressep2.2021