HomeMy WebLinkAboutRoof Inspection Affidavit r� a
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
• . Fort Pierce,FL 34482
772-462-2165 or 772.462.2172.
Fax:772-462-6443
=,RECEIVED
ROOF INSPECTION AFFIDAVIT-SLC a�y� ,
Re: Permit# 1lJJZ!:actoDa
1, l 1censed asineer/Architect
(Please p ' t name&circle license 'FS468 Building inspector
•Gmrrol,auftding,Res. carlot or Roofing Contractor or onylndlvtdaor crrtir(ed undrr 468 f.S.torr okt suCh on insprct/on.
On or about Iq 4 9. Wdid personally inspect the roof deck nailing
( ate)
work at:2 i3 �rnld - Nap 34ay6
(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 gent).
Signature and Seal license#
STATE OF Ft0 A
COUNTY OF
Sworgjo.and subscribe before me this G day of 20-9
by r Who Is personally known to me or who has produced
PC- f)1 as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number, (Seal)
En
Scanned by CarnScanner