HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT2018°09-28 11:13 Merzmi.Roofing Inc. 17728789051 >> 77?4A26443 P 1/1
COC.,[IV"' Y
F L O R I D A,
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 # t ,& /N'' �
1,�C,5)L k.- S hwo { ,tensed as a(n)Contractor*/Engineer/Architect UO�e Cott,
it
(Please print name & circle license type) *F54fi8 Building Inspector k
*General, Building, Residential
esident! or Roofing contractor or any individual terrified under 462 F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailin&
( ate)
work at: la ��'
site ddress)
Based upon that examin have deter fined the installation was done according to the current
edition of the F a Existi uilding de Section 708 or the product approval submitted (whichever
is most s ' ent).
enafr rP�•rirl _ WaI License #
STATE OF FLQRtDA
COUNTYOF,'>--1 I Ld0- !—
Sworn to and subscribed before me this day o 20
to me _,�
by �>i�tnG- S�.lnroec-l-e' Who is personally4kno or who has produced
as ldentifica ion.
Notary Public, Sta f�rldoSignatureof NotaCommission Number.''tU ' L (Seal)
En
i�rp LISA MARIE 16IONTEVONE
Notary Publlt- State of Florida
Commission ■ GG 190497
Melonded
MyCOMEX00% Fcb 27. 2022
4thfough National NotaryA3�n,