HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITF • 4
O,R
�
1'•� p�� �p .
Re: Permit # d po L
SCANNr�-D
BY
St. L�iO gJ&tDevelopment 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
-v-)S- v
I, Dee Kell h n , licensed as a(n) C.ontDractor/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
Rtcov
0��16
Sittip9
t 4U ,'0e a tmen.
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 7— 17— l , 1 did personally inspect the roof deck nailing
(Date)
work at: % d o .� Ga ✓' j C �/ l �J r T�C�. n, t"L�/ G, ��
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition f the Florida Existing MUM Code Section 708 or the product approval submitted (whichever
m t s rigen
ist).
33i �y �
Signature add Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this � day of 20J��
by JD A ¢ %{ :%Florld
ho is personally known to me or who has roduc d
i entification. ;,.ti 'pie,, MICHELLE CAVIL
r°.'M °b? Notary Public -State of Florida
Commission # GG 135939
Notary Public, State o :�• ' ' P:; My Comm.Expires5ep29.2021
Signature of Notary:
`tOFF P` BerdedthaaughNational Notary Assn.
Commission Number: PM
En