HomeMy WebLinkAboutRoof 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 # !3 CC J,0(39— 0311
I, !+e, Tr$n-1i20,'1icensed as a( �ntract*/Engineer/Architect CCC 5
(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 1 _ t "I ` i 7 3---, 1 did personally inspect the roof deck nailing
(Date)
work at:
r
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Fl xi.c)a Existing Building Code Section 708 or the product approval submitted (whichever
is mostr €nt). 1
a
CC -C 1.-7 z 2:
License #
STATE OF FLO I `/
COUNTY OF i
Swor o u cribed before me this day of UAA 20
by b . Who is personally known tQje or who has produced
M as identification.
Notary Public, State of Florida
Signature of Notary
Commission Number. n
En
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