HomeMy WebLinkAboutRoof Inspection Affidavit sx avers.ar,+ .tc^.va vucawxe<x,. -x.�y c,.+Y..t
Planning&Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
0 : I j Fort Pierce, FL 34982
w 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, tul-5 t�bNE licensed as 4 Contracto */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 J C 1 I , I did personally inspect the roof deck nailing
(Date)
work at: CP o S -
(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
C,t331g3a .
Signature and Seal License#
STATE OF FLORIDA II }f�,��
COUNTY OF �� 1..��.,�
Sw rn to an subscribed before me this 5 day of 20)9,
by�D&S V 1 nJD Xt—,S Who is ae_r2 aliy known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: 6.d�
Commission Number: (Seal)
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