HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
_ Building&Code Regulation Division
® 2300 Virginia Avenue
e Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-46246 '
1 �-740
ROOF INSPECTION AFFIDAVIT
cS
Re: Permit# C)4-6�c>
I, 7 sed as a'n)Contractor /Engineer/Architect
(Please.pr' t name&circ 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 ' C� I did personally inspect the roof deck nailing
(D e)
work at. �J L�S�-`�L c �-- ���•I- '
(Job site addres
p
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).
Si ature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn o andsubs ribed before me thi -day of 2&
by Y ho is personally known to me or who has produced
hii-ida 7W I/ entification.
Notary Public,State of Floridaa � LOTUSK SPEAKS
Signature of Notary: a� 'ti Notary Public-State of FWMo
Commission Number: Commission FF 080038
�.? My Comm.Expires Apr 7,2020
En 1116 Ilmob National Wary Assn.