HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�I Building& Code Regulation Division
2300.Virginia Avenue
COUNTY
� Fort Pierce,,FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit it O
alTiOi✓
, licensed as a(n)Contractor*/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� e 0 1 , I did personally inspect the roof deck nailing
(Date)
work at: 8 �� L, Z/tG�- ',P� ✓ 1 /�i��'GL
(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 mo t st igent).
Signature an Seal License#
STATE,OF FLORI
COUNTY OF �
Sworn t ands b/scribed befor a this day of Uv� �( 20J
by Oi' . Who is personally known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary: aJ,__
Commission Number: ft$j S. ,MiiiMPA
En L
�* EXPIRES:Sept 9,2022
9 `_m