HomeMy WebLinkAboutRoof inspection affidavitRe: Permit#c>oL+_Q2RE6
(Please print name
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(n)Contractor*/Engineer/Architect
circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any indivl.dual certified under 468 F.S. to make such an inspection.
On or about i
(Date)
workat: 13C)I Jqu4/*
I did personally inspect the roof deck nailing
(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
STATE OF FL
COUNTYOF
me this
C.CC I
License #
Who is Dersonallv known to me or who has produced
as identification.