HomeMy WebLinkAboutRoof Inspection AffidavidPlanning & Development Services
j = _ Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTIQN AFFIDAVIT
Re: Permit #
I, 5Jlicensed 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 a 1020 2WO , I did personally inspect the roof deck nailing
(Date)
work at: 400 6_
(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).
Z�eI4� ��_ Sc _ cc '/'- 15'-f g 21 g
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF 5+ UC 1 c-
Sworn.ton -and subscribed �
ed before me this ��day of 2QM
by l�A� jJ0 !L jj0At5CtM Who is personally known o de or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
JUHANA HE NANDEZ
Notary Public State of Florida
.= Commission 48 GG 332111
My Commission Expires
7
May 07, ?023