HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
J z Building&Code Regulation Division
& 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 REce>veo
JAN 0
ROOF INSPECTION AFFIDAVIT Permitting pe ars,.
St,Lurie Cp
Re: Permit#
10"t(���licensed as a(n ontract */Engineer/Architect
1,tAi I(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 ('11 06 �," , I did personally inspect the roof deck nailing
(Date)
work at: `�
(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 most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swo►�to and subscribed before me this day of 20L
by (y 1 S 1 j(J D/J&S Who is personally known to me or who has produced
as identification.
Notary Public,State__ G`/4 flori �1nI i
Signature of Notary:
Commission Number: 0 (Seal)
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