HomeMy WebLinkAboutRoof Inspection Affidavit Piainning & Developrr, .—,.-5'Services
` j :—. Building & Code Regulation Division
4
i 2300 Virginia Avenue
a w Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#f.�„- 12 3'.,-CS'i3
1, , licensed as a(n)Contractor*/Engineer/Architect
(Please PYnt 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 J=, CQC3 1 did personally inspect the roof deck nailing
work at: S�+
(Job site address) i
Based upon that examination i have determined the installation was done according to the°current
edition of the Florida Exis ' Building Code Section 708 or the product approval submitted (whichever
is most St
Signature.and.Seal License#
ST,�TE OF FLORIDA
COUNTY OFj�f-r.
Sworn to and subscribed before me this ? day of_ � '?' 20
by `fi e 0±*,, Who is p6tsonally known to me or who has produced
as identification.
Notary Pubic a e of Ft rid "
Signature of Notary:
Commission Number: 'Z (Seat)
En / � Yo KEGAN CRAWFORD
My COMMISSION 9 GG265055
��v EXPIRES:October 03,2422