HomeMy WebLinkAboutroof Affidavit Planning & Development Services
lot- i = - Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443Elveo
All 0-9 7018
ROOF INSPECTION AFFIDAVIT PSt ng
,tuoeu�enr
Re: Permit# f kc -)K65 -()S(Y")—
'1�PI, u } licensed as a )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 6- '-)cp- /� , I did personally inspect the roof deck nailing
(Date)
work at: o�qw,
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio&thelorida Existing Building Code Section 708 or the product approval submitted (whichever
is mos
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF -5W-1-4 Vh<--
Sworn to and subscr' ed before me this Z day of20_j�t
by 2ke5jft C ajj6j . Who is personally known t me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
HEATHER BURFORD
ota Public
++ ;State of Florida
183217
Commission # GG
Z' my Commission Expiros
,Q,,O; February 06, 2022