HomeMy WebLinkAboutWhite Affidavit Planning& Development Services
j : --� Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#SLL
I, jJaN�licensed as a( Contract r*/Engineer/Architect
Please rint 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 c�', 3 1 1 did personally inspect the roof deck nailing
(Date)
work at: �J —r �cq rl�r '
(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 st_rigent)._
7 l
Signature and Seal License#
STATE OF FLORI �
COUNTY C l
_ zO J
Sw to and subscribed be-fore me this day of
byrn /S 1X/i9 _. who is personalIv known to me or who has produced
as anti€ication.
=(I..)� ExpWn
EB d Plaids
Notary Public,State o I i a w
GG 240086
Signature of Notary: 24
Commission Numb r: ,. (Seal)
En