HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
TI
Building&Code Regulation Division
2300 Virginia Avenue
COUNT
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 8 `
I - w licensed as a )Con ra.ct3�*/Engineer/Architect
(Please print name&circle license typ� *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 I did personally inspect the roof deck nailing
( ate)
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 m s strigent).
Signature and Seal License#
STATE OF FLOR
COUNTY OF Q
Swo n to and ubscribed before me this�day of 20 1
by . Who is personally know to m or who has produced
Z_ bQ k as identification.
Notary Public,St o r'
Signature of Notary:
Commission Nu (Seal)
{{Alp{GftA�-RAHM{NG '
En ;ra'• IASW
' � —,'P .y GG275060
EXPIRES:December`20,
gvnded7hN 20�Qrs
PuVi_cllnder
Notary