HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
_ l
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2003- C) qq
I,Dt cE E QOr, licensed as a(n)Contractor*/Engineer/Architect
(Pleasve print name & circle license type) *FS468 Building Inspector
`{`General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such on inspection.
On or about 3 3a12oL0 , I did personally inspect the roof deck nailing
(Date)
Work at:1093)
(Job site address)
Based upon that examination 1 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).
&'21ztle
Signature and Seal
STATE OF FLORIDA
COUNTY OF kAagQ�zz�
C CC 111G 5' 1 q
License #
I`
Swo to and subscribed before me this I day of 2070,
by Who is personally known to me or who has produced
as identification.
Notary Public, State of
Signature of Notary:
Commission Number: (Seal)
En
KEGAN CRAWFORD
MY COMMISSION # GG265055
��oP� EXPIRES October•03.2022