HomeMy WebLinkAboutFL 1703 roof inspection affidavit Planning & Development Services
- Building & Cade Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# j q6 j- bS r7 a
I,5t-auC�!b]&c,L,g.,,rJ ice nsedas n)Contractor* Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General,Building,Residential orRoofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about cQ JcOO 1ao� , I did personally inspect the roof deck nailing
(Date)
work at; 1`�S� uc�C r,nr>r����. .i �prt C tea.
(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). +-
T=��;—
Signature and Seal License #
STATE OF FLO i A
COUNTY OF
Swor o and subscrib d before me this � day of !_6L1`t{ 20( 4
by Who is p Lon ay wn to me or 1ho has produced
as identification.
Notary Public,State of l r
Signature of Notary: * YEE
Commission Number: hcStateofFlorida
oEn ission GG 179975
/2812022