HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
11°N&T 2300 Virginia Avenue
Fort Plerce, FL 34982 .
772-462-2165 or 772-462-1172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT RECER"-El OCT 09 2017
Re: Permit#
4 nlPAD -Q- licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle I cense type) *FS468 Building Inspector
*General,Building;Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about l `"CI'/-7 i did personally inspect the roof deck nailing
(Date)
work at: I
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever-is
BCC, 133 11'70 d
Signature and Sea{ License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this �►� day of— "' 20_1,7
by_�o\a r►r�► W' %\n�j Who is personally known to me or who has produced
ras identification. w _
lie Yp'�;,^ DEANNAMARIEGIVENS
it ?' `' = MY COMMISSION#GG 022023
Notary Public,State Florida ':,_ t z= EXPIRES:December 16,2020
Signature of Notary ►�lr�+� %'
ded 1'hru Nota +Public underewiters '
Commission Number:
En 01/19/2011