HomeMy WebLinkAboutInspection Docs Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 L IVED
Fax: 772-462-64437 2018
ROOF INSPECTION AFFIDAVIT y, Permitting
Re: Permit# t')
Acensed as a(n)Contractor*/Engineer/Architect
(Please print name& circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 9/ 2 ! I did personally inspect the roof deck nailing
(Date) f
work at: (I(�Z9 n ��,►r�► �1 r�' � r �� 3 L(T�2
(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).
�....fr
` Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swor to and subscribed before me this- 2 CM—day of E� i-)(A Lc,l 20 E
by i(°11Arj:Era(-, Who is personally known to me or who has produced
as identification.
l
Notary Public,State of Florid /
Signature of Notary:
Commission Number: (Seal)
U1551 AL MM I IN U
En Notary Public-State of Florida
Commission r GG 144896
rn My Comm.Expires Oct 24,2021