No preview available
HomeMy WebLinkAboutRoof Inspection Affidavit 1y Planning& Development Services u Building& Code Regulation Division 2300 Virginia Avenue fl © Fort Pierce, FL 34982 y , 772-462-2165 or 772-462-2172 s3'rlk Fax:772-462-6443 ROOF INSPECTION AFFIDAVIT Re: Permit# Q 6 7 I, la ��1 , licensed as a(n)Contractor*/Engineer/Architect (Please print name&circle license type) *F5468 Building Inspector *General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an Inspection. r On or about 6 3 10,E Jz2-0 d , t did personally inspect the-roof deck nailing (Date) work at: f) U rLD 1 j-5 (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 m ri ). i Signature Se License # STATE OF FLORIQA� C� COUNTYOF Sworn to and ssubs-cribed Wore me this II7i 1 day of by ( ;, �A Who is personally known to me or who has produced (� L as identification. Notary Public,State of Flon ,��`""Y'pGm, Signature of Notary: �� srare��I'E'ti. V Commission Number: �E2 2'76DQ!j �' F`PP;; Com°,f Vii/riaa Note HN nna� My oq #G y Public (. G En U -riber 22 2azp�es9 - a