HomeMy WebLinkAboutRoof Inspection Affidavit 06/03/2021 10:24AM FAX 9549227797 CARE SHEET METAL & ROOF 160001/0002
Planning&Development Services
M : , }. 1 Building&Code Regulation Division
* 2300 Virginia Avenue
Fort Pierce, FL 34982
- - 772-462-2165 or 772462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, ?'06er-T'
, licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building;Residential or Roofing Controctar or any individuai certified under 468 F 5.to make such an inspection.
On or about ( 3 ` � �" , 1 did personally inspect the roof deck•naiiine
(Date)
work at: 45q Gt1c✓JLi r�CJ-x1.� a� ,� }'r U G' I�.
(lob site address)
Based upon•�t examination I have.determined the installation'was done•according to the current
edition of a rlda Existing Building Code Section 611 or the product approval submitted(whichever,is
most s fee
_ -- CCS. � �•� ��` .
- •Signa a and Seal License#
�~ ~• -
STATEnUF FLORIDA
-..._.GOVNTY OF 1l r a W ao
sworn to and subscribed before me this 13. day-o �U P-J —20t
by J2 Who is p nally known to a or who has produced
aside til
Notary Public,state of Florida
Signature of Notary;,-"
Commission Number: (Seal)
En 01/1.9/2011
Notary Public Sfate of Flmwa
William J Krawiec
-' �� i tME*re�oam� tg'es290