HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building &Code Regulation Division
P
2300 Virginia Avenue
* Fort Pierce, FL 34982
____...... � 772-462-2165 or 772-462-2172
Mill
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 2.06b
licensed as a(n) ontractor*/ ngineer/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 I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon tha amination I have determined the installation was done according to the current
edition of Flo I ' ting Building Code Section 708 or the product approval submitted (whichever
is most s ge
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF .,
Swor to and subscribed before me this day of 20J V•
by C'tl k7 M;;14"Af/Who is person o n me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: 'dp"-
Commission Number: (Seal)
En UMp"REY
S m
Y Pu . AUDREY B H GG 300817
° MY COMMISSION#
EXPIRES:Mari 6,U023
detwdters
? -�W Bonded Thru NotaryPublic
OF F.