HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
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#
I, �� I/lIV'Iv , licensed as a )Contract */Engineer/Architect
(Please rint name& circle license ty� *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 I did personally inspect the roof deck nailing
Date) �ftpa
workat: _ ,,_31p
(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
/-VC/3,3 /
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Swo n to and ubscribed before me this J— day of m 0-L 201
by i N'M . Who is personally known to me or who has produced
as identification.
Notary Public,State of FI i
Signature of Notary: QIP
.►'"" Notary Public State of Florida
lexen
Commission Number: Desiree mission
(Seal) My Commission GG 240689
Expires 0 2MO22
En