HomeMy WebLinkAboutRoof Inspection Affidavit i
Planning& Development Services
tT' Building&Code Regulation Division
2300 Virginia Avenue
,i Fort Pierce, FL 34982
772-462-2165 or 772-4622172
Fax: 772-462-6443'
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC1612-0406
I, Matt Drozd licensed as a(n)C ntractor /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,.Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to-inoke such an inspection.
On or about 12/27/16 1 did personally inspect the roof deck nailing
(Date)
work at: 6903 Santa Clara Blvd
(Job site.address)
Based upon that examination I have determined the installation was done according to the current
editio of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most t',I Lint-
j'
•_'' It tr 'i{ :��. ./ t ! CCC1330205
' Signa a and Seal License
i
STATE OF FLORIDA a'
COUNTY OF
Sworn to and subscribed before me this 27 day of December 20 16
by. Matt DEtozd. Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida ,,
Signature of Notary:
7
Commission Number:-
En 01/19/2011
3HU81!RT
MY COMMISSION#06008600
n» �; EXPIRES Octobter07,2020'
1407)398.0153 I'ionaaNotary SoN,aa,—