HomeMy WebLinkAboutroof 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: Perm' _
I, !� ,:hl � �N',�licensed� a a(n)Contrac * 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)/ ( G�
work at: (i \ S U
(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 mos strigent).
.A
Signature and Seal License#
STATE OF FLOR
COUNTY OF
S o "?and s ibed before me this day of 2011
by Li� 001 . Who is personally kno to me or who has produced
as identification.
Notary PuCNotary:
SignatureCommissi (Seal)
En ., , xs
oSPar n�� '
— ,Pw