HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
' j7 _ Building& Code Regulation Division
bAL
® 2300 Virginia Avenue
WD Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a(n)Contractor*/Engineer/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 3-1 . 1 did personally inspect the roof deck nailing
(Date)
work at:_a,50L11 5o lrr Z Aug V57?3
(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).
Lf �s
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this V�) day of
6y :S-eckn nm& eVOtr . Who is personally known tome orw o has produced
LCL 1 1p1lk-1 as identification.
Notary Public,State of Florida
Signature of Notary: 9,,�,LaA_
Commission Number:&A 3kAq rA01 (Seal)
En
y KATHERINE LYNN POWELL
Notary Public-State of Florida
Commission=GG 34870,
MY Comm.Expires.;Lr 25,
2023
9onded through hry atiora %ota Assn.
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