HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT�1012 12018 15:20 LUVIANO R00FI1Yo. ` _ _!UqU 357 3566 P.0041004
C6(J NTY
F L O R I D A J
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 # 19I V- a 1 d a-
I, b f-• l l a fU `a t?,Qicense Contractor*/Engine /Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S, ro make such an inspection.
On or about a�c� i �_ . I did personally inspect the roof deck nailing
(Bate)
work at: 300100 S-l- I Itli? tom n F
(Job site adds)
Based upon that >?amination i have de fined the installation was done according to the current
edition of the Flo ida Existing Build.Code Section 709 or the product approval submitted (whichever
Is most strigent).
Signature d S ' po of . MARLINA GOofNEZ License #
. MY COMMISSION # GG1/d236
•: aSXPIRi-S JUne 13.2021
STATE OF FLORIDA p I,,
COUNTYOF I% t C I� 12W
Sworn to gno suIb� cribed b fore ml this day of oci— 20
by 1�+1/1 1��_r w Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal)
En
; eK" MARLINA GODINEZ
MY COMMISSION # GG714236
EXPIRES June 13, 2021