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
ROOF INSPECTION AFFIDAVIT
OFC1
Re: Permit#
I161v ✓ licensed as a(n)Contractor*/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 DC C c ► `� , I did personally inspect the roof deck nailing
(Date)
work at: r ! r l GI �-7 4--1 49 / J I-J L] N
(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 m trigent
y c�
Signature and Seal License#
STATE OF FLORIDA
COUNTY
Sworn to and subscribed before me this \k day of R C 20A,
by Q� Who is personally known to me or who has produced
L 1pL as identification.
Notary Public,Sta[e<1lorida _
Signature of Notary:
° NA MARIE IVENS
Commission Number: L �— MYcOMMISS �GO?.2023 I
;r EXPIRES:December 16,2020 f
En
g 4".' Bonded Thru Notary Public Underwdi�)s