HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1
Planning & Development Services
�i Building &Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
4 Sy�E®
ROOF INSPECTION AFFIDAVIT CoUn1y
Re: Permit#1`701'0 7Z
il,Tsw SCtt¢J>EI& . licensed as a )Contractor* Engineer/Architect
(Please print name & circle license typ *FS468 Building Inspector
Genera, Building, Residential or Roofing Contractor or any Individual certified under,168 F S to make such an inspection.
:On or about 25 / I did personally inspect the roof deck nailing
(date)
iworkat: 31 SVERCei WA4 Fr '1)iezcr.. r-L 9ggW
— '(Job site add —
:Based upon that examination I have
.edition of the Florida i u
is most stri
and
STATE OF FLORID ,
COUNTY OF ,�C-_
the installation was done according to the current
ion 708 or the product approval submitted (whichever
;G— 13S120--7
License #
Sworn -to and subscribed before me thisal 1 day oK3Cll &I -ew 20IJ
by d..Ylo l,40:0 Who is personally known to me or who has produced
as Identification.
Notary Public, Sta a h \/L _
Signature of Nota J I�0
Commission Number: G _LROU-41--(Seal)
En