HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172=RECEIVEDFax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, . 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�� `D� ` 1 ` , I did personally inspect the roof deck nailing
(Date)
work at: l �` Ct� �'/r �t� l-� 4�i'`E✓� .
(lob 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
s most
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this a' ` day of 5'V Ylt-k 26-,
by1-6\g+•d WY, Who is personally known to me or who has produced
V-L•,p IL, as identification:
Notary Public,Statlorida D[MINAMARIE GIVENS E
MY CoMIASSION#GG 02x023
Signature of Notary: _
ExFIhES e
Commission Number: Mr,i�kl
Rcember16,2020
Bonded R rypublicUndenvrtlary r
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