HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
o 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, brw) w licensed as a(n)Contractor*/Engineer/Architect
(Please print namek 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 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
i ost s ge
70
Signature and Sea License#
STATE OF FLORIDAp
COUNTY OF
Sworn to and subscribed before me this Sb day of 20
Who is personally known to me or who has produced
as identification.
Notary Public,Stat f Florida
Signature of
Commission NumbZr (Seal)
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