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#
licensed as a(nContracto /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) p
work at: /110 Qov'a-Z f elf llyl" (�'Cet,�-
(lob 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).
ccs � 32_15� �� IC75'
Signat re a d Seal License#
STATE OF FLORIDA
COUNTY OF-
"w
o n to and subscribed before me this day of 2aby Who is personally known to me or who has produced
as identification.
Stary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
2023
1.-M
••; AUDREY B.HUMPHM
*p MY COMMISSION#GG 3008'17
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