HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services
.c 11.�_ c Building&Code Regulation Division
® 2300 Virginia Avenue
0 o Fort Pierce, FL 34982
- - - -- - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
ED
2017
Re: Permit# VX N O b 0 4 H�
II license as a(n)Contractor*/Engineer/Architect
(P eat
name&circle license 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 I() 1;� 1 I did personally inspect the roof deck nailing
(Date)
work at:
( ob site address)
B ed upon tha mination I hav determined the installation was done according to the current
clition of t o a Existin II Ing Code Section 708 or the product approval submitted (whichever
is most s I
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF SJ— ,s� ll [[
Sw n to and subscribed before me this day of t�G"+l�o�l 20_1 1
Who is personally known to me or who has produced
as identification.
Notary Public,State of FI ida
Signature of Notary: LL� I i
Commission Number: ,os sP�e�-' CATHY J ROBERTS
A fi . o; NotaryPublic-State of Florida
En ° ••eE Commission#,'FF 221708
My Comm.Expires May 10,2019
Bonded through National Notary Assn.