HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�n �� �-µi r 1 T' Building&Code Regulation Division
- ;�; 2300 Virginia Avenue
OU NT ''` Fort Pierce,FL 34982
F A ,t) :R d p A =_
._.. . 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# H H o( OZq
I, 5rwu r ;foj,cu ilicensed 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 1— 17 —1 al , I did personally inspect the roof deck nailing
(Date)
work at: 7O •
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Iori. . 'xisting Building Code Section 708 or the product approval submitted (whichever
is most str'::
CCCaS5S"73 f/pzg?
—ISignaturre n Seal License#
STATE OF FLORID 1
COUNTY OF ls.
1 r1�CJ�
Sworn19 and subscribed before me this /' day of -7 C 20_Q
by seven -,\ . Who is personally known to me or who has produced
-(—D[". as identification.
Notary Public,State of Flo2/
Signature of Notary: G/(/'
Commission Number: (-0— c C)C7—) ` (Seal�`"`� .: . ...
/ ", ELLEN VAUGf N''
��1A pr¢
$°O►� °,Stats of inlcrida.Notary Public
En �• - *= Commiaaion#CSG 270079
tiliit/;``a My Commlaaalan E)0109
October 22 2022