HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2.72
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #_ Iq L ,
1, ► ��.� ! 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 < I did personally inspect the roof deck nailing
(Date)
work at:
I"
(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 FLO
COUNTY O t
f D-1
, 0
License #
Sw to and ubscr�be efore a this 1'1,_� qday of �' i rk
by P .�� ersnalEy kno n to me or w has produced
as identification.
Notary Public, Stateo rids
Signature of Notary
Commission Number: (Seal)
En RiN^iREI
te of FloridadersonGG 21125622