HomeMy WebLinkAboutROOF CERTIFICATION INSPECTION AFFIDAVIT-% Design West Associates, Inc.
720 S Orange Blossom Trail, Orlando, FI 32805.
Ph: (203)514-4221 • Fax: (407) 235-8529 E-Mail:
designwestassoc@aol.com
- RECEIVED
Roof Certification Inspe t' n Affidavit
ILE COS' iturV 201#
�emitti
St. oa tment
Permit #: Job Site Address:
1810-0482 2317 St Lucie Blvd, Fort Pierce FL
I Wayne Gandy , licensed as:
(Please print name and check the box next to the License Type)
License #: PE33134
On or about 12/8/18 10:30
❑■ Current/Active Florida Engineer S
❑ Current/Active Florida Architect pt0/6
�u eN Fo
did personally inspect the following y
(Date & time)
items on this roof for compliance with the 61h Edition Florida Building Code.
F*The roof deck fastening
I hereby certify the roof deck fastening is in accordance with: (check one)
X01 Edition Florida Building Code Existing Table 706.7.1.2
❑Roof covering Miami Dade N.O.A
❑Roof covering Florida Product Approval
FEIThe underlayment
I hereby certify the underlayment is installed in accordance with: (check one)
961 Edition Florida Building Code Existing section 706.7.2
❑Underlayment Miami Dade N.O.A
❑Underlayment Florida Product Approval
❑The flashing, roof covering and final installation
I hereby certify the flashing, roof covering, and final are installed in accordance with:
(check one)
❑Roof covering Miami Dade N.O.A
❑Roof covering Florida Product Approval
Siam
d this 11 th day of December
3Ali-
`Grohitect r
• S T OF '
iONA`
2018