HomeMy WebLinkAboutRoof inspection affidavidRe: Permit #
Planning & 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
licensed as a(QContractor*/,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: -(3e `+
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the FI a Existing Building Code Section 708 or the product approval submitted (whichever
ism
/l' .-2,5 S7300d2's`/
License #
STATE OF FLORIDApp`''��''
COUNTY OF �`�^I-%-,ak
Swo n to and subscribed before me this _ __ day of PcitY C) 20'�
by�AeVe;q W q. Who is 1p"sQa_�knovvn to me or who has produced
as identification.
EZ
Notary Public, State of F 'da ��„v °Oe
CATHERINE ate of Floridapp ,, o Notary Public, State Of Flo
Signature of Notary: i.: lc -WB" t -Q - Commission# GG 921213
Commission Number: (Seal) �4e coma. ::apins Octobe�8, 2023
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