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
1, tyis altitwav licensed as aKn)Contractoi*/Eneineer/Architect
(Please print name &circle license type) —'' *FS468 Building Inspector
*6eneral, Building, Residential or Roocfiing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or about l q � 1 , I did personally inspect the roof deck nailing
(Date) Q
work at: a30'1 ;%1 )4 c n r-R /')e 1 �'
(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
t-str�nt).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF K `i
Sw rn to and subscribed before me this day of `� " 20,
by /S , Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida —�
Signature of Notary: &Ux�
Commission Number: (Seal)
En
-----------------
40
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My Commission GG 240M
Expires 07F M22