HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
r7. Building& CodejRegulation Division
2300 Virginia Avenue
a p Fort Pierce, FL 34982
-- 772-462-2165 on 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit,4
De—Wis sed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
I
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1/�/ 2� Zdid personally inspect the roof deck nailing
(Date)
work at: l —S 0. C'T—
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida., cisting Building Code Section 708 or the product approval submitted (whichever
is st rigent). c—(�-
15Y 2-
Signature and al License,#
STATE OF FLORIDA
COUNTY OF /Yl,
Swn to and su cria before me this O�I day of �( � 20x
by��IQt�(� ��C`� Who is personally known to me or who has produced
L�CIUw �_ �2n� s identification.
Notary Public,State of Florida Lauren Mata
Signature of Notary: .`tP°e�.
A- _ State of Florida
Commission Number: Seal f
)y9 o z My Commission Expires 061212021
En
Commission No.GG 117457