HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia,Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 SCANNED
Fax: 772-462-6443 5Y
fit. Lode Comb,
ROOF INSPECTION AFFIDAVIT RECEIVED
SEP 112018
Re: Permit # STD A49 1@ cptahty/ Permiitin
I,,,�� %J�_S icensed 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 aboue- I did personally inspect the roof deck nailing
( ate)
work at: c q3 Q) E�I-d
(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
L most strigent).
ature and Seal License #
STATE OF FLORIDA
COUNTYOF S%1'. LOcc�
Sworn to and subscribed before me this day ofZ� 20 _D,
by�o`.'n v. v� c'i '(\ Who is personally known to me or who has produced
\, as identification.
Notary Public, State 8
Signature of Notary:_
Commission Number:
En
DEANNA MARIE GIVENS
— My 0 MMISSION # GG 022023
EXPIRES: DAflQ 16, 2020
Bonded ihru Notery Public Underwriters