HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning & Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, v i 1-ji-,AAcensedasa ) ntractor* ngineer/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 7 - /8"11 , I did personally inspect the roof deck nailing
(Date)
work at: EJ
o f
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Bu' ' g o Section 708 or the product approval submitted (whichever
is most stri
Signatur Seal License#
I
STATE OF FLORIDA�t.��
COUNTY OF J
Sworn to-and subscribed before me this day of 20_,
by D QID N 2/D ►/Ur t''A—who is personally known to me or who has produced
L'n(_ as identification.
' RED
LLE Nf FErida UGHNNotary Public,State of Florida C Notary Publicission #'GG 270Signature of Notary: L ommission Expires9Commission Number: V (Seal) ctober 22, Zp22
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