HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
�'Mill
9 <<r 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 # 2-00) —fl
I, 4j,caAA'5, licensed a a( Contractor* Engineer/Architect
(Please print name & circle license type *FS468 Building Inspector
*General, Building, Residential or Roofing C ntroctor or any individual certified under 468 F.S. to make such an inspection.
On or about f C� 7- 1 did personally inspect the roof deck nailing
(Date)
work at: jo/-?jsk 00 J; -:�a:L
(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 FLORIDA�
CO U N TY 0 F (-9
License #
Sworn to and subscribed before me this 30 day of J"OtR % zp,70
by MiCAb2f-t_ S. 1��J��t A�`� �rper ay /or who has produced
as l entlfiication.
Notary Public, State of Florida ) �%
Signature of Notar"-''
Commission Nu mbe . �li-3a0�!) (Seal)
En
��.✓"�,k Notary PuD1�c State of Florida
James E Westphal
2023
'� ` My Commission GG 300411
?oi no� Expues 02/11,