HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
fir. 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit
f, (S tA1-)UFS licensed as �Cpntrac */Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residentiol.or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 0. 1 did personally inspect the roof deck nailing
(Date)
work at: _�u� CPA A`j-e- T��
(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 FLORIDA-)_, I ,
COUNTYOF
Sworn to an subscribed before me this day of 2t �
by WI& IJUi i )DkLS Who is personal) known to me or who has produced
as identi ication.
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Notary Public,State of Florida My Commission 00240=1
Signature of Notary: a�.
Expires 07/22/2022
Commission Number: (Seal)
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