HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
- _ = Building & Code Regulation Division
2300 Virginia Avenue
F LORI DA—'4 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
I, �! , licensed as a/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 k-`C1,r)O I did personally inspect the roof deck nailing
(Date)
work at: OrD t � 4u -L e`N'<1
(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).
Signa 74n d Seal License #
STATE OF FLORIDA
COUNTY OF���,)„jje
Sworn to and subscribed before me this' day of 20W,'
by �_�� C"1�C� Who is personally known to me or who has produced
as identification.
Notary Public, State or!�
Signature of Notary:
Commission Number: (Seal)
En
V';;a
JIM,,NNA NEGRON t' ,
I: r" My cOWIMISSIO 14 M, 32312k) I i
EXPIRES: /gxiEig,202h II,
��°'�; `�`` f?andui?nra E"oh,,:y'.'u!rl1t: �lnrieraiib..Ji.