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# �fi�2, �aSScj
1, r,rtLC:,► G's S , licensed as a(n)Contractor*/Engi nee r/Arch itect
(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 on inspection.
On or about 20 , 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 Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
C(-C- \3-� i I
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed Wore me this 3;day of 20e;�P-
by Vq W_1C)VVLt2 �YJ• . Who is personally k&
o to me or who has produced
d>,• !� 12 - as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
En
ot�nvFcca AUDREYB.HUMPHREY
MY COMMISSION#GG 300817
t. arch 6,2023
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FUF F Bonded Thru Notary Public Underwriters l.