HomeMy WebLinkAboutRoof inspection affidavitPlanning & Development Services
- 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 # asX"-) — o cr i-i
I,. f—4(ntn licensed as a(n)Contractor*/Enginee r/Architect
(Please print n me & 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( 1 119 1 did personally inspect the roof deck nailing
(Date)
work at:--- -- � "I
(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
STATE OF FLORIDA
COUNTY OF S�- Lk-;- � -C�
('0o 600�
License #
Sworn to and subscribed before me this 1 ( day of
by je F who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary: +fl A
Commission Number:
En
(Seal)
C 0 N S T A N C E P R 0 U L X
SARY pUB �:
s State of F4orida-Notary Public,
- *= Commission # GG 258328�
My Commiss€on Expires
Or
"+ Septembor 16, 2022
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