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 .p.
ROOF INSPECTION AFFIDAVIT DEC 18 2017
Re: Permit# "04 S'6
! Oicensed as a(nContDracto 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 make such an inspection.
On or about 1A tck�vj I did personally inspect the roof deck nailing
(Dat
work at:—240-6 IZD P-E- }P er-r—w— C�L 3 Ltq &—t
(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 most strigent).
-'yv;j &Lo C-CC,13 3004 Z-
S
Signature an Seal License#
STATE OF FLOR
COUNTY OF
Sworn to and s bsc 'bed before me his _day of 20f�,
by �l/who is personally known to me or who has produced
as identification.
Notary PUblic,Sta F o
Signature o o ar-y "—
Commission Number:
KAREN S. NIELSEN
En _ Commission# FF 115637
.,
�a My Commission Expires
June 12, 2018