HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982 RE'cErvEp
772-462-2165 or 772-462-2172
Fax: 772-462-6443 DEC �B�Q18
�rmitting Department
St. Lucie o
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, licensed as a(n)Contractor*/Enginee r/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 ( 2-/ I I did personally inspect the roof deck nailing
(Date)
work at: q 3b tn I,0y4"i !Y�iu 1 `J
(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 str' e
(AjC' ll �
Signature and Seal License#
STATE OF FL
COUNTY OF M(�, A n
Swor toAnd su scribe before me this day of 201
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida 1N';" BRANDYMOORE
Signature of Notary:
Commisolon#00102839
Commission Number: U ( �� ExplresMay9,2021
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