HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 RFCFI��o
Fax: 772-462-6443
Nps 2 .
pe 2?O,g
l�U @Qepd
ROOF INSPECTION AFFIDAVIT caypent ,
Re: Permit#
I, ,Al oozes gad7i, licensed as a(n)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 tiv v Z to / I did personally inspect the roof deck nailing
(Date)
V
work at: 3 / y �Lc/ci
(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 trigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF S{-"LUICIIf
Sworn to and subscribed before me this A:�_day of A) f7✓ 20_L_,?
by Gk k bq '�tM unQ- -- Who is personally known to me or who has produced
F L 17 L as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number:6,G— oa-zq (Seal) ELLEN VAUGHN
:State of Florida-Notary Public
En w Comrnirialon #GG 270079
MP,,,,t My Cammltaion Expire®
AotBbe3t 22 2022