HomeMy WebLinkAboutRoof inspection affidavitr
Planning & Development Services
Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 RFc�l�
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT %;FAa,.
a47F�P7f
I
1 / I
Re: Permit# 1 ' 0(
I ,
I
I, licensed as a(n)Contractor*/Engineer/Architect
i
(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 cq—j-�—(90 , 1 did personally inspect the roof deck nailing
(Date)
n I
work at: 0C�
(Job site add ss) I.
I
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
Signature and Se License#
i
STATE OF FLORIDA j
COUNTY OF C'LL Cy�
Sworn to and subscribed before me this '[C day of�, P1. 20_aL)
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
s F
Commission Number: (Seal) � �,; ato f�FN
1, i°p���� Co F/
En Mk s,o iaaVNo Gy
9e'hn7/n�GGrarY p
r s
o s,r be
n ?�00�b
/o , �c
22, 2 /res 9
I
i
' I
• I