HomeMy WebLinkAboutRoof Affidavit ar 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,I�c- ►A :> ��� C*=-�,4icensed as a Contractor* Engineer/Architect
(Please print name &circle license typ *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 0 )13 I , I did personally inspect the roof deck nailing
(Date)
work at: "�-503 ��„fS� 4��� .�h• Vlc -c,:-
(job
-c(job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Bgilding Code Section 708 or the product approval submitted (whichever
is most strigent).
cc 13 2 S tl 3 i
Sig t License#
r'
STATE OF FLORIDA
COUNTY 0F(`�'���'�r1�
Sworn to and subscrped before me this day of 20�
by c4AN�L Who is personally known to me or who has produced
bas identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
ZULEMA TONCETTICH
MY COMMISSION#GG005234
EXPIRES June 23,2020
(407)398-0153 FlorW&t*XggService.com