Loading...
HomeMy WebLinkAboutRoof AffidavitRe: Permit #0 D 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 ensed as a(n)Contractor*/Engineer/Architect (Please print n]ame & 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 D�I did personally inspect the roof deck nailine (Date) work at: ��r)- (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 most strigent). Signature and Seal STATE OF A FLQPI COUNTY OF �1 � ulC t 6- License # -5 --5 r6no d suit cr' ed before me this day of �� ' �IV 11 20 li �A^ ,Zr V ����. Who is personally known to me or who has produced as identification. Notary Public, State of Flgrida Signature of Notzry: i T(� Commission Number `b (S'" KATHERINE HAVENS MY COMMISSION #GG165030 En EXPIRES: DEC 04, 2021 ' Bonded through 1st State Insurance c i � a Re: Permit #0 D 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 ensed as a(n)Contractor*/Engineer/Architect (Please print n]ame & 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 D�I did personally inspect the roof deck nailine (Date) work at: ��r)- (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 most strigent). Signature and Seal STATE OF A FLQPI COUNTY OF �1 � ulC t 6- License # -5 --5 r6no d suit cr' ed before me this day of �� ' �IV 11 20 li �A^ ,Zr V ����. Who is personally known to me or who has produced as identification. Notary Public, State of Flgrida Signature of Notzry: i T(� Commission Number `b (S'" KATHERINE HAVENS MY COMMISSION #GG165030 En EXPIRES: DEC 04, 2021 ' Bonded through 1st State Insurance