HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FI.34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit,, /0 -073b
1, 0�il t hied ,'licensed as a( � tractor;; Engineer/Architect on
tractor;
print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about /0 C-^j I did personally inspect the roof deck nailing
(Date)
�
91
work at:
(Job site address)
Based upon that exami a et rmined the installation was done according to the current
edition of the A a Existi wilding de Section 708 or the product approval submitted (whichever
is most st i nt).
3 0-
gnature and 5 License#
STATE OF FLORIDA
COUNTY OR Ucp—l-r—
Sworn to and subscribed before me this 30 day of
by� Shy Q (5ehf0<?j1V- . Who is personally known to me or who has produced
as identification.
Notary Public,Sta ,a ida
Signature of Nota n-ei
Commission Number:G&f 0 C)4c)7 (Seal)
En
LISA MARIE MONTELEONE
Z�;� Notary Public-State of Florida
0 9
GG 47
Commission N GG 190497
My Comm.Expires Fel}27.2022
Notary
s'
Bonded through National Notary Assn.