HomeMy WebLinkAboutroof 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 # XG3
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print 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 s�`f'I� , I did personally inspect the roof deck nailing
(Date) T
work at: SoaO �� -]mc±k)1 vc,
(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).
rcc 1 ES0 9 -7 �o
License #
STATE OFFLORI
COUNTY OF�
Swor o d subscri of re this � day of 20 _4&,
by Who is pejS�naIIY known to me or,,w',ho has produced
as identification.
o�4, KATHERINE HAVENS
Notary Public, State 32.;� MY COMMISSION #GG1 65030
Signature of NotaryrTAP--�EXPIRES: DEC 04, 2021
Commission Number'`
En