HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
A
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
II
Re: Permit#
I, Nr no
o V,,�� sV licensed as a(n Co
ntratorc /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 '3,2 � / I C( , I did personally inspect the roof deck nailing
(Date)
work at: I^1 3 L i -�o�,c� `jlQ-. + Co-.l- &LC--C,
(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 most strigent).
CC X33 Z C)'R
Signature and Seal License#
STATE OF FLORID
COUNTY OF
Sworn to and subscribed before me this day ofs��20
b /N �. Who is personally known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: eal)
En
AUDREY B.HUMPHREY
MY COMMISSION#GG 300817
EXPIRES:March 6,2023
public undetwritets I,
BondedThruNOtary