HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT - 11-12-18Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
RECEIVE®
ROOF INSPECTION AFFIDAVIT
NOV 19 2018
�� / 4 �� "D ST: kaeie GGwfli'�s PHfCtillflM
Re: Permit # �6
in" ,f,47 �icensed as a(n)Contractor*/Engineer/Architect v
(Please print name & circle license type) *FS468 Building Inspector �UCle CIDU19
6y
*General, Building, Residential or R ofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about % ` I did personally inspect the roof deck nailing
( ate) ->
'work at: V��%� f/i�1��/mod _T
(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
is most strigent).
Signature'and Seal License #
STATE OF RORIDA
COUNTY OF S>f • �-V t��.
Sworn to and subscribed before me this �_ day of aV 201
ey Q,,%Sr,n % �r h 5f .. Who is personally known to me or who has produced
e%— fl L as identification.
Notary Public, State2f�Florida .
Signature of Notary: 4
Commission Number:(Seal
; 1'•"•�^y *,, DEANNAMARIEGIVENS '
En =,r' My COMMISSION 0 GG 022023
�''�"d►i��` EXPRE5: unbar 18y$020
•.,,,,,,•.• Bonded Tlru Notary AubliC Underwriters