HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
COUNTY
0 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443RECEIVED
JUL 7 � 9
ROOF INSPECTION AFFIDAVI permitting
ST. Ducie county,
Re: Permit#
I, � , licensed as a(n) ontractor /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 —1 —G , I did personally inspect the roof deck nailing
(Date)
work at: LC��cI l 4y C�-U5 Lj&ti F-4
(Job site ddress)
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.
Kmost ' rt t).
Signature a Seal License#
STATE OF FLORIDA
'COUNTY OF
Sw n to and subscriber before me this_ day of � 2VE
by Qrnc� 1,01( Who is personally known to de or who has produced
as identification.
Vivienne A Finletter
Notary Public,State of F �7 mot rep,NOTARY PUBLIC
Signature of Notary: �` STATE OF FLORIDA
Commission Number: 0t (Seal) 9, Comrr*GGI 33001
Expires 8/11/2021
En