HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
•, `s i` C, y Building& Code Regulation Division
2300 Virginia Avenue
EMM 0 Fort Pierce, FL 34982
- 772-462-2165 or•772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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 16-2�-'l� , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori xi ting Building Code Section 708 or the product approval submitted (whichever
is most stri
Signature and Seal License#
STATE OF FLORI
COUNTY OF "
Sworejo and subscrt d before me this day of 20 J7
by�)T�X eh �T b1(CT o is personal nown to i e or who has produced
as identification.
Notary Public,State of Florida ,
Signature of Notary:
Commission Number: (Seal)
En
AUDREY B.HUPAPWI,.;sY
4_-- €)MI�IISSION#IGGlu yi7 ru.
F — AUDREY t ,iJ4H6 PHkEy EXPIRES:March 6,?023
3 `` my OOMMISSIO'l It GG 300&,I: hr Notary
c:X?1i Nia
�' • ^, ?ES: Bch 6,2023 `
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