HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
- laBuilding & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print nar47&circle license type) *FS468 Building Inspector
*General,Building,Residential orRoofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about �—(9�— 6 , 1 did personally inspect the roof deck nailing
(Date) `
work at:
(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
is tr' e
CCS
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ��c(�QZ
Sworn and subscribed before me this 2-2 day day of 20 ,�4�.....
by ")A-4y? ) Who is personally known to r6 or who has produced
as identification.
Notary Public,State of Florida3 (Dm
Signature of Notary: o n 3 °D
Q oC. —i
Commission Number: (Seal) c 3 w '—'_
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