HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
- I _ = Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
APR 0 2 70'a
ROOF INSPECTION AFFIDAVIT
Permitting uepa,.
St. I_ur_ie
Re: Permit# I ! b
I, ��4 nlicensed as a(n)Contractor*/Engineer/Architect
(Please print name(d 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 O I D2- , I did personally inspect the roof deck nailing
(Date) c
work at: ((:;,1 Qc-,^ ��t ` (_n �k, iesCe-, �C . 3 L .
(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
Z
7.��
Sign7711-- License#
STATE OF FL 1
COUNTY OF n
SwAlfto 4nd subs ri do fare me his day of4—uj—
b�
20W' , Who is personally known to me or who has produced
as identification.
Notary Public,State of Flo i �
Signature of Notary: Y �,t I° �ttlVPpB( BRANDY MOORE
Commission Number: 2 +
Commission#GG 102839
Ns Expires May 9.2021
En ~Moro. &nuludIhrududpNNotary Servka