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,CC �rlx,�t -cam , licensed as a(n) ontracto */Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 458 F.S.to make such an inspection.
On or about La I did personally inspect the roof deck nailing
(Date)
work at: '-A-135 -
(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 strI ent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY
Sworn to and subscribed before me this day of \A\)ryL 20
b} ,1J1 n IL4:S. CJQS5 (�tt'yt s who itsp rsonalll known to me or w o has produced
as identification.
Notary Public,State of Florida.
Signature of Notary:
Commission Number: (Seal)
En
MARK KENNY
commission#GG 144499
„ Expires September 19.2021
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