HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
f u #m Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
A SFr RFC,
ROOF INSPECTION AFFIDAVIT
Re: Permit# Is
I, licensed as a(n1i 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 I o - I a )G� , I did personally inspect the roof deck nailing
(Date)
work at: 33�' rUrUt �� �r F� pfc�il�� 3y5�Z
(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 rpost st '
- o 5� C('C /33 //76)
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20��
by 9t) Cjh4 (A)I(P.q . Who is personally known to me or who has produced
+ L hL, as identification.
Notary Public,State of Florid 17
Signature of Notary: '��.lil ELLEN VAUGHN
Commission Number: Seal W— T'"r`i
;�� ,;State of Florida Notary Public
Commission # GG 270079
En % My Commission Expires
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