HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
j ROOF INSPECTION AFFIDAVIT
( Re: Permit# I ` 3
I
I, i censed as a(n ttra _ /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
i *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about Id rl ' �� I did personally inspect the roof deck nailing
(Date)
work at:
(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 708 or the product approval submitted (whichever
is st strigent).
�-�
Signature and Seal License #
i
STATE OF FLI A
COUNTY( A
Sw r to at s��{{b rib before me this , a day of 207 ,
by S �t` ( Who is personally known to me or who has produced
as identification.
Notary Public,State of I ri a
Signature of Notary: MEGANIEANETTELAWRENCE
�,•� Notary{>+W'c-StateotHodda
Commission Number:_ "1� Cammisso�aGG097d77
i .' My Comm.Expo pp,24,2021
En 4,�� _ 9craedt Ka+ lratm Asst
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