HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a( Contractor*/ ngineer/Architect
(Please print namd&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 1 1,— kOL—l `31 I did personally inspect the roof deck nailing
(Date)
work at: 3 &( 9-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F ida Existing Building Code Section 708 or the product approval submitted (whichever
is most s nt
Signature and Seal License#
STATE OF FLORIDA' i J
COUNTY OF ILL.
J
Swo o and subs i ed before me this I� da ofd6j",11/20 �. � �YiL '.`'
by u Who is personally known to me or who has produced
as identification. oN
k
a � 0
Notary Public,State of Flor a x ''' Cn tll
Signature of Notary: 4
fap o i- —
Commission Number: (Seal) z
R En �.a
LNotaryPublic,
LLIPPE �N U)
W6 �1- te of FloridaG 179276 Mar.4,2022
1