HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & 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 # 1806-0277
It hripf'(1110
RECEIVED
AUG o ,1 ?019
pef'►nittin9 De
Pa
St: Lucle COuntmen-.
1, ^ Jamie Cisco ' , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
on or about 08/01/18 , 1 did personally inspect the roof deck nailing
(Date)
work at: 501 Nettles Blvd. Jensen Beach
(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 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF Martin
CCC1327796
License #
Sworn to and subscribed before me this 1st day of August 20 18•
by Jamie Cisco Who is personally known to me or who has produced
as identification.
Notary Public, State of Flori a `0 gas P,�� rlatary Public S4ate of Florida
Signature of Notary: e A4arilyn Kluagel
g ry: w o� Ally Commission FF 230179
Commission Number: (Se r' oFeLd Expires 0"ol2i;/20I
En 01/19/2011