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
Re: Permit# JL ' 1 ' Z—
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 l— \ 0, -- � I did personally inspect the roof deck nailing
(Date)
/J 2
work at: "( I> S /� �c? Yat l Vf'
(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 strige'AX4�lz
ryt
Signature and teal License #
STATE OF FL IDA
COUNTY OF
Swor o an subscrib efore _day of 206
P is ersonally knovyn to me or who has produced
as identification.
Notary Public,State o ,F orida - .•tea= �6fR o &�•, /�,
Signature of Notary
Commission Number: (Seal) OGG0041$4 ,
En ��� t .rtiatrry Sa°••�O
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