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# ac 4'6(0�s-
1Robert Donovan , licensed as a(n)Contractor*/Enginee r/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 , - CO - , I did personally inspect the roof deck nailing
(Date)
work at:
(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).
CM 330489
Signa and Seal License #
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to and subscribed before me this day of / ' ' C1 20a
by Robert Donovan Who is personally known to a or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary: _
Commission Number: GG 00 83
En
(Seal) CHRISTA.LYN SALMONSON
MY COMMISSION N GG 930883
EXPIRES: March 10, 2024
Dondod Thm Notary Public Undenvdlers
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