HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT0813012018 08:54 P.0011001
at Luca® COMM
,Re: Permit # 1805-0261
ping & Development Services
ling & Code Regulation Division
I Virginia Avenue
Pierce, FL, 34982
or 772-462-2172
772-462-6443
ROOF INSPECTION AFFIDAVIT
I
I, Ricardo Lara , licensed as a(n),
(Please print name & circle license type)
*General, Building, Residential or Roojing Contractor or any
/Engineer/Architect
*F5468 Building Inspector
AUG 3 0��9A
Pormitthq
St G'c a coart mNf„
unt• ,
cerdfled under 468 F.S. to make such an Inspection.
On or about _80/1.8 I did personally inspect the roof deck nailing
(Date)
work at;
140 N Naranja Ave
(Job site address)
Based upon that examination I have deterrr
edition of the Florida Existing Building Code
is most str' ),
Signature and Seal
the installation was done according to the current
on 708 or the product approval submitted (whichever
' CCC1330337
License #
STATE OF FLORIDA COUNTY OFMAl2-ih
Swo n to and subscribed before me this dayof 20
by c�,A✓ 02M MLo Is ersonally known to me or who has produced
as identification.!
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En Theresa Anne Fasano
NOTARY PUBLIC
STATE_ OF FLORIDA
Comm# G4928275
Expires 711=021.
I
I