HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building&Code Regulation Division
TL 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
li ensed as a(n Contracto /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 2 - 0 ` L'F , I did personally inspect the roof deck nailing
(Date)
work at: L-3 N o s Z �. 5 c'
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the FI . a Existing Building Code Section 708 or the product approval submitted (whichever
is most s ge ).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
pSw �n to and subs ribed before me this dayofJ.Z2 202,y
Who is personally known tome or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: Seal)
En
{ +eG AUDREY B.HUMPHREY
y; *- MY COMMISSION#FF 174772
EXPIRES:March 6,2019
!'fq' Bonded Thru Notary Public Underwriters FEB 13 2018