HomeMy WebLinkAboutRoof Inspection Affidavit Planrill ng.:&Development Services
Y { Building&Code.-Regutatio R Ow lipir
U Virginia�Avenue
Fort Pierce,F!<34982!'.
7724624165 _
or 772 fit 2172;
_ Fax 7T2-462-6443;.
""ROOF INSPECT ON AFFIRUIT
Re
=- 0'C .I
1, S licensed as a(n Contractor /,Engineer/,Architect
(Please,print,name&circle lrcense.type) 'FS40$Wilding:.lir#.O&o
*General,'Bu118tng,,Res dentral orRaaffrig Contrdctar or any IndlvldualzererNfied under468 FS'io make such;on Tn;pecSan.
On pT about ' 2d C I did personally:inspect the-roof deck.nailin
(Job site address)'
Based upon:that examination'I have`determined the: nsialtatron:was done:aecording.tothe current
edition of"the Florida Existing Building Code Section 7.08 ar the.productapproval-submitted (Whichever
is.most Y� I� it),.
Signature and`Seal License:#
STATE.Or FLO G
;COUNTY OF C•.
Swor ;toand9U scrib :b f e: e'this: � day,of
Who is personally kgown,to.me:or who' as produced
-
as-ideritification.
,Nota_ryPublic,>State`o ." lor'da'" .f*r Notary-;PublxSiateotFioizde'
Signature oUNotary: .. OeenasM SabeAa
Commission.NUmber. (Seal) MY Commroslon 00,229,1'00 F.xprreS OW14/2022
En -.