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 # _
t, 40" Wf'S licensed 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 rod ° , I did personally inspect the roof deck nailing
(Date)
s �
work at:� rJ�J
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Floricj sting Oui( I ode Section 708 or the product approval submitted (whichever
is most strigent)
Siena re Ad Seal---'' License #
STATE OF FL O (-'`
COUNTY OF
Sw }fir o a subsc 'b of re me this day of
M `' t,�S_. Who is personally known to me or who has produced
Notary Pu lic, Stat o'
Signature Nota
Commission r:
En
(Seal)