HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
_ ` Vl Building & Code Regulation Division
COUNTYI 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEDED
MAR 1 3 1019
ROOF INSPECTION AFFIDAVIT De artmen`
=zrmitting P
fit. LU�io
Re: Permit#
I, u licensed 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 3—\1— \q I did personally inspect the roof deck nailing
(Date)
work at: 4��
(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).
r��O�W CCC. `_�'S�1-1'U
Signature and Sew License #
STATE OF FLORIDA
COUNTY OF G:t LtiLl e-
Sworn tQ and subscribed before me this 13 day of 20-0
by 1 0 ikwU LL�0,-zj4 Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
\tPAY P''�i� HEATHER B
State of Floricie-Notary
• GG 1832ublic
missi
(yacommis
on # 17
V Commission Expires
February 06, 2022