HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1012612018 15:20 LUVIANO ROOFIK . 'F"163 357 3566 P.0031004
COUNTY
F L 0 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 # 0 Q (70
(Please print name & circle license y
`General, Building, Residential arr R
oofing
On or about ( D [A,L
(Date)
work at:
Based upon that examination I have
edition of the Florida Existing Buildir
is most strlgTt)- ,-,
an
STATE OF FLO I A I`
COUNTY OF 41lo M
r"/Engi nee r/Arch ite ct
*FS468 Building inspector
or any Individual certified under 468 F.S. to make such an inspection.
I did personally inspect the roof deck nailin
yd'l-00
ob site address) 9— wtR (0vrll� I
ater d-thwfttallation was done according to the current
e5de Section 708 or the product approval submitted (whichever
- I_ 3U
License #
Sworn to and subscribed before me this a (Ray of (W— 20�
by M14.4 LEI 9641b . Who Is personally known to me or who has produced
as Identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En