HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building & Code Regulation Division
. 2300 Virginia Avenue
UNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# J(05- 0"-167
I, 0n r 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 -5-';/-6 1 did personally inspect the roof deck nailing
(Date)
workat: 5 77C� 7/A✓�fciS (t)►�H l�f pp�� �r�
(J b 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
6ee /33//70
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF fit _
Sworn to and subscribed before me this 2--2- day of 172 7? 20_'
by 1?41.&mJ) Who is personally known to me or who has produced
as identification. kk.
s
Notary Public,State of Florid
Signature of Notary:
Commission Number (Seal) KO m m
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