HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
3` �, . r , 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVI gPR;09 2018L7A
�g,CpunCy;,Pmrml�i �
Re: Permit#
�. ac �T J 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 T l l did personally inspect the roof deck nailing
(Dat )
work at: �� I r7 (` p P
(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 611 or the product approval submitted (whichever is
most strigent).
-73
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF +/t
j'
Sworn to an bed fore me this ay of r 1 ! 20
by �. who is personally known to me or who has produced
as i entl kation.
Notary Public,State of F rida
Signature of Notary:
6—�- LaL�",i
Commission Number (seal)
En 01/19/2o11
JUSTIN DAVID CONE
Notary Public-State of Florida
' �.I Commission/GG 7%511
'i,n.- My Cumm-Exaires Mar 14,2022
Hondcd through Nai-undl Notary Assn.