HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
- _ Building & Code Regulation Division
2300 Virginia Avenue
iCOUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# O-QLy5
I, S rvG 6A6;jC,;t.., t licensed as an)Contractor*/ ngineer/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 make such an inspection.
On or about I Z- N- I- , 1 did personally inspect the roof deck nailing
(Date)
work at: 7 ni I-gl4 iF7�5i 4.-)
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F rI Existing Building Code Section 708 or the product approval submitted (whichever
is most s i nt).
Signature and Seal License#
STATE OF FLORIDA,,',
COUNTY OFS
Sworn to and subscribed before me this It day of Q'—C 201L
Who is personally known tome or who has produced
y as identification.
Notary Public,State Florid apNp}dpRIEDNEp22023
Signature of Notary: : : MY COMldISSeONrG6 2020
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Commission Number: Bonded ru ��
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