HomeMy WebLinkAboutRoof inspection affidavit Planning& Development Services
LT
Building&Code Regulation Division
e 2300 Virginia Avenue
J
FL 4 82
Pierce, 3 9
Fort
772-462-2165 or-772-462-2172
Fax: 772-462-6443 o
, d
h
ROOF INSPECTION AFFIDAVIT
I
Re: Permit# 1,Uo2-DV7
I, 014d le licensed as a(n)Contractor*/Engineer/Architect
(Please print name circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an Inspection.
On or about Q/ Z 7/Zd�,O , I did personally inspect the roof deck nailing
(Date)
i
L ✓f �i / Yli/`2
.work at:
(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 ost
o— CCC
Signature and S - License #
I .
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20_,
by . Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
li
I .
I
I j