HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
�. . T Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit�`� '.
ljlko licensed as a(n)C ntractor* ngineer/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 did personally inspect the roof deck nailing
(Date)
Drwork at: to -+ �1
(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 M or the product'approval submitted (whichever
is most r' ent).
_0 C-r - R3 b-2
Signature and Seal License#
STATE OF FLOR
COUNTY OF
Swor to nd subscr' for a this day of 20�
by� W n-1 . l� . Who is personally Isnnain to me or who has produced
as identification.
Notary Public,Statea
Signature of Notary: orid " Notary public State of Florida
Deena M Sabelia
Commission Number: (Seal) My commission GG 229100
�"0 Dpres 06I14/2022
En