HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITr
Planning & Development Services
Building & Code Regulation Division
2300'Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
i
ROOF INSPECTION AFFIDAVIT
Re: Permit #
I,T e, "licensed as a(n) ontractor /Engineer/Architect
g p
Please not name &circle license t e *FS468 Building Inspector
( p yp)
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about �� ( D I did personally inspect the roof deck nailing
(Date) J
work at:
(Job site address)
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).
Signature and Seal
STATE OF FLORIDA I
COUNTY OF
License #
Sworn to and subscribed before me this ( I day of 204,
by�,u'1i-e,( MGM-t 1 � U— L--A 1�' V io is personally known to md or who has produced
l� I C> as identification.
Notary Public, State o a
Signature of Nota y:
Commission Number: (Seal)
En KAREN S. NIELSEN
;Pp.Y P4 ,
ayo ass State of Florida -Notary Public
-* •'c Commission # GG 207484
'�'"0'1��`�` My CJune�12, 2022pireS
BY at Lunie County
Planning & Development Services.
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772:462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 1805-0.362 '
I, KYLE WHITE ;licensed as a(n)Contractor*%Engineer%Architect
(Please print name ,& circle license type) *FS468 Building Inspector.
*General, Building, Residential or Roofing Contractor.ar any individual certified under 468 F.S. to make such an inspection.
On or about 08/06/2018 , 1 did personally inspect the roof deck nailing
(Date)
work at: 5100 EAGLE DRIVE. FORT PIERCE
(Job site address)
Based upon that examination I have determined the installation was done according to the current .
edition of the Flori !sting Building Code Section 611 or the product approval submitted (whichever is
most strig
CCC 1325895
Signature and Seal License #
STATE OF FLORIDA.
COUNTY OF . ST LUCIE
Sworn to and subscribed before, me this 6th day of. AUGUST •20.18.
by KYLE WHITE
Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
�� ENE MiAN,F//rfp�ri
Signature of Notary:
�
yr �c5sloy•.. 5'�;
Commission Number: FF 936050
(seal)
En 01/19/2011
FF 936050
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