HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
F LORI DA --A—A—" Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
qPR 2
9
ROOF INSPECTION AFFIDAVIT �S "
�
Re: Permit#
licensed as a Contra r*/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/ �r /4 I did personally inspect the roof deck nailing
(Date)
work at: ��(D —a—el�
/�/� ZC
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori xisting Building Code Section 708 or the product approval submitted (whichever
is most Ae.
29oa75y9
Signature and Sea License#
STATE OF FLORIDA
COUNTY OF S•t--L4t C4--f—
Sworn to ands bscribed before me this Z* day of t1 2.0 �g
by M; /�n ��`. W Avlispersonally known to me or who has produced
as identific 'on.
Notary Pub' , e�
Signature o otary:
Commission Number: (Seal)
En
KAREN S. NIELSEN
nr� �'>,i� i x FF 115637
'c ^Ay 1 c rnr:,ss or F>pi!es
June 11, 2018