HomeMy WebLinkAboutInspection DocPlanning & 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 #
aL—CLL
G 1 �acun wJ6 Ik1hicensed as a(n)Contractor*/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 q I did personally inspect the roof deck nailing
(Date
work at:
(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).
—4u llza &-j—
Signature and Seal
STATE OF FLORi
COUNTY OF
License #
Sw t a u c ' e fferhmethis— day of 2019bYnajjy1tn���r„ torWho is persomrwho has produced
as identification.
Notary Public, State of F o id . tPaY'P� KATHERINE HAVENS
Signature of Nota ; ' MY COMMISSION #GG165030
Commission Number: EXPIRES: DEC 04, 2021
( p Bonded through lst State insurance
En