HomeMy WebLinkAboutRoof AffidavitRe: Permit # 20C'S`-6 L` 7, 7
(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 INSPECTloN AFFIDAVIT
licensed as a(n)Contractor*/Engineer/Architect
& 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.
Onorabout 6/g/Z4ia ,ldidpersonallyinspecttheroofdecknailing
(Date)
workat: 33L7 e|_i_f_/4-S_
(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
Signature and Seo-~---
STATE OF FL
COU NTY 0 F
methis 8+A
CCL I 3-`3l/ 7F) ____
License #
1)^C 2!JJ„J3fJ
Who is personallv known to me or who has produced
as identification.