HomeMy WebLinkAboutRoof Sheathing AffidavitPlanning & Development Services
_ - - Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # ZodS - oo 1
I, At, 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 S 1 1 Zo 2.-0 1 did personally inspect the roof deck nailing
(Date) /' ++
work at: 2-`k O S CA- a k L~vti U'j
(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).
Signature and Sea
STATE OF FLO DA
COUNTY OF n � LUCL��-
CCC (33 11.35
License #
Sworn to and subscribed before me this (L) day of��"C :.� r 20 Z�
by_R 6ce-,o -T 1` _ Who is personally known to me or who has produced
7- 1. �as identification.
Notary Public, State o ida
Signature of Notary:
Commission Number: CSC 002- -2- 1 G (Seal)
En
a&1 y Poe, PAMELA R ORTIZ
* MY cOMMISSION # Of, 082215
o` EXPIRES: March 18, 2021
�``Cp F\P< parried Tiuu Budget Nary Services