HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building&Code Regulation Division
VP. I 2300 Virginia Avenue
W Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
5�z--U--AjeFr�
licensed as a( )Contractor*JEngineer/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 1 — 3 d I did personally inspect the roof deck nailiniz
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flo Existing Building Code Section 708 or the product approval submitted (whichever
is most str' e ).
Signature an Seal License#
STATE OF FLOR!
COUNTYOF i Luct ,
SW t�oand s&sriibq!d before mp this % day of LYL 20�
by� GV1 . Who is personally known to me or 4o has produced
as identificat' n.
Notary Public,State of lori {�q� A� RENEE PHILLIPPE
Signature of Notary: ` Notary Public,State Florida
1
Cammissiank GG 179278
Commission Number: (Sea My comm.expires Mar.4,2022
En