HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
I _ Building& Code Regulation Division
2300 Virginia Avenue
ZOUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# S4 Z 2a-2
I,jos/< ��� .-z Aicensed as a(n)Contractor*/Enginee r/Architect
(Please print name&circle license type)eff<"/3z r *FS468 Building Inspector
*General,Building,Residential or oofinContractor r any individual certified under 468 F.S.to make such an inspection.
On or about 2 21' 2 I did personally inspect the roof deck nailing
(Date)
work at: S"�Z� P��=C L� r7-
(Job
(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 License#
STATE OF FLO WA
COUNTY OF VQ 1 M 9 e a C h
Sworn to and subscribed before me this 9—R4k day of t rbc r-c,,4 2020,
by joSeQH Cler-e, 4 S Who is personally known tome or who has produced .
P a S s p c r- ►- as identification.
Notary Public,State of Florida
DEPALMO
Signature of Notary:_ ,:����-• BENc-Sta State
-�.�`; Notary Public-State of Florida
Commission Number: Ki Q q 3 l ! (Seal) ' commission#GG 193186
My Comm.Expires Mar 7,2022
En "��nded through National Notary Assn.