HomeMy WebLinkAboutAffidavit Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, 6 "J �,J, keLlicensed as a(n)Contractor*/Enginee r/Architect
(Please print name 8&fircle 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 _Q-/`/-/Z , I did personally inspect the roof deck nailing
(Date)
work at: 6 0 P f f4 eoel fel Ci >i t i[G lel 3`f 5Z2.
(Job 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 igent).
c W 133117
Signature and S al License #
STATE OF FLORIDA
COUNTY OF
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