HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
f Building.&Code Regulation Division
I c Y i11 FEZ23.00 Virginia Avenue
Fort Pierce, FL34982.
772-462-2165 or 772.462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# t* L/ 6/ /0
1 rG�'d41--`Ulicensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or RoofingContractororany Individual certified under 468F.S to makesuch an inspection.
On or about �l r` U , I did personally inspect the roof deck nailing
(Date)
work at: e� A14,�'/
f
(Jobsite 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).
Signature and Seal License#
STATE OF FL
COUNTY OF= l 0,t
,C
Swpm to and subscribed before me this 0l. day of ud, 20j—ff
bY' U-1
�. 1rt k Lx,c)lWho is personally kno to me o:who has produced
as identification.
Notary Public,State o��lorrid ��ai
Signature of Notary:
Commission Number: �.1\a 0 (Seal)
En =N/2612022
ate of Florida
nderson
00:211266
22