HomeMy WebLinkAboutAvery Roof 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
r
Re: Permit # -y
1,66�n�' (�4censed 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 I did personally inspect the roof deck nailing
(Date)
work at:t ; »t
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florid sting Building ode Section 708 or the product approval submitted (whichever
is most strigent)! /
STATE OF FLO A
COUNTY OF
by
Notary Public, Se�te of
Signature of Ne tary
Commission N b
En
License #
11 in
its day of /Ay2t °I
Who is personally known to me or who has produced
as id ifi ation. �>