HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITf
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 RECEIVED
772-462-2165 or 772-462-2172
r Fax: 772-462-6443 JUN 0 6 1018
Permitting Department -
St. Lucie Court,
Re: Permit # 1 805-0663
I� MAURICIO ORELLANA , licensed as a('�t)Contractor*/Engineer/Architect
(Please print name & circle license tygle) *FS468 Building Inspector
*General, Building, Residential or Roofing
On or about 6/6/2018
(Date)
work at: 603 ASH ST PORT
Based upon that examination I ha
edition of the Florida Existing Buil
is moststrigent). /j
A1. n _ Y n If
Signature and Seal
STATE OF FLORIDA
COUNTY OF S-C L"�-�` (ZF
or any individual certified under 468 F.S. to make such an inspection.
did personally inspect the roof deck nailing
LUCIE FL
(Job site address)
determined the installation was done according to the current
g Code Section 708 or the product approval submitted (whichever
CCC-1330623
License #
Sworn to and subscribed before me this I (Q day of S�W-)—Q_ 20A
by "\O -\,o I SQ.Lho is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number;
En
` ?10-'y O�e� PAULETTE BLAIR-ALEXANOER
_ NNotary Public - State of Florida
Commission ,# FF 995699
%? W My Comm. Expires Sep 6, 2020
ANNLO
BY
St Lurie Coy
Re: Permit # 1805-0663
I� MAURICIO ORELLANA , licensed as a(
(Please print name & circle license tyg
*General, Building, Residential of Roofing Conn
on or about 6/6/2018
(Date)
work at: 603 ASH ST PORT SAI
1
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
/Engineer/Architect
*FS468 Building Inspector
or any individual certified under 468 F.S. to make such an inspection.
I did personally inspect the roof deck nailing
LUCIE FL
(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
COUNTY OF -"& ���� <_
Sworn to and subscribed before me this
by
as
Notary Public, State of Florida
Signature of Notary:
Commission Number
En
16— CCC-1330623
License #
aktz day of S�-,s'1-Q 20A
Is personally known to me or who has produced
""IQ "I""" PAULETTE GLAIR-ALEXANDER
r ` "d Notary Public - State of Florida
-y � Commission # FF 995699
"�;o��,�� My Comm. Expires Sep 6, 2020