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#
I, 6VI" &2VAe/ licensed as n)C ,tractor* ngineer/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 , I did personally inspect the roof deck nailing
(Date) Q�
work at:_ 4g46V,5-- 16)121,,,04a rw,,11L,c/
(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).
CCc /v?z�9�`Sl
gnature and Seal License#
STATE OF FLO��}I�Q
COUNTY OF 'ten w
SwWC -1
nd suJa�cribed before me this rd da 20/�
by � �.� e!d Who is rsonally known to m or who has produced
as identification.
Notary Public,Stat of Flori
Signature of Nota :eR` JANINE SCAPICCHIO
Commission Number: (Seal) MY COMMISSION#GG040900
EXPIRES October 23,2020
En