HomeMy WebLinkAboutRoof Inspection Affidavit r, T
, f
n
Planning& Development Services,
I r
_ ��`�{4 � Building&Code.Regulation�.Di�ision r'u
2300'Virginia 6nue `
Fort Pierce, ft., 82
J 772-462 2165 or 772-462.2172 1
. a
Fax..772-462 6443 s
ROOF aNSPECTION AEFiDAVIT .
Re: Permit,#.:�i! '84
I, E licensed as a(' )Contractor*,/Engineer/Architect
(P,lease Int,name&circie'license type} *F5468 Building Inspector r.,
*5enerol,8uliding,Resldentiol or Roofing contractor orany individual certified under468 F5 to make such an Inspection.' i
` On or about ''i l 0 I did;-personaNy=inspect the:roof deck nailing a
(Date)
work at: 3 1'1 .rl t�2�iJgi.
i, Job site`ad ress). I
Based upon that examination'1 have determined o installation was done according:.to'`the'cuerent
J
edition,of.the Flor'id'a Existing Building Code Section 708 or the'producf approval submitted(whichever`
is most stri"ent).
J.
Signature and`Seal _ Citense ft
STATE OF FLORIDA 1
COUNTY OF
(7--
SW
- -
Swor to and subscribed before me this day'.of 20_jf', a
by r.As. �F;_ - �Vl'ho is petsonaliy known to me or w�ho-has produced
as identification ..- ,. _
Notary Public,$tate of Fiori
Signature of Notary:
Commission Nurriber: (Seal) '
En "" KEGAN_CRAWFORD _
Ml�c obe"r 0 22022 `
t$Y.COM_
d+� EJCPIItES,..
,