HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITi
i C!
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 .
RECEIVED
ROOF INSPECTION AFFIDAVIT QCT 17 2018
ST. 6asi@ Eoynty, permitting
Re:. Permit # .SLR 8
C'4Y
i, .Dff /�LMA icensed as a(n vntractor /Engineer/Architect '�'t4U �®
(Please print name & circle license type) *FS468 Building inspector Oj@ SOU
hty
*''Seneral, Building, Residential or Roofing contractor or any individual certified.under 468 F.S. to make such an inspection.
On or about a 4) I did personally inspect the roof deck nailing
( ate)
(work at:
(Job site address)
1 0 �
Based upon that examination I have deterrhined 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 strieentl_
Signature and Seal
ac�,-19LM20
License #
laTE OF FLOR DA "�.,' /I__
)UNTYOF ,00h
n to and subscribed before me this f day of bfK 20_IL
109) Cpf ety ftis Who is personally known to me or who has produced
kW fi v n 4e. as identification.
I
itary Public, State Pf lori
;nature of Notary:
mmission Number: (Seal)
I Laft Abednepo
Notary Pubk
State of Florida
C)�14 Commission Expires 04=022
j Commission Na. GG203i99