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 #�� L (s, c 0/
1, M licensed 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 0 11 k I did personally inspect the roof deck nailing
(Date)
work at: G2� ���-_ ��,AJV--v\' Q
lob 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).
Signature anis
STATE OF FLOR
COUNTY OF
License #
Swo to and subs ri ed, of r me this I t day of /t�� k_ 2049
by i '� C �� Who ispersonall kdo n to me or who has produced
as identification.
Notary Public, State o Fl "da
Signature of Nota -- `,,oRPRr'PUe4 KATHERINE HAVENS
Commission Number: MY COMMISSION #u"Gi65030
EXFIRES: DEC 04, 2021
°F Bonded through 1st State Insurance
En