HomeMy WebLinkAboutRoof Insp AffiPlanning & Development Services
Building & Code Regulation Division
COUNly 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #vim "
I, '� icensed as a njContract /Engineer/Architect
(Please print name circle license typ *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 968 F.S. to make such an inspection
On or about L"t L I did personally inspect the roof deck nailinx
(Kate)
work at:
(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).
Signature and Sea
STATE OF FLORIDA
COUNTY OF ��yQ
Sworn to and subscribed before me this )13 day of _
by `> Who is personally k
1,4 as identification.
Notary Public, Yate of Flo
Signature of N ary:
Commission Nu er:
En
GrGr -1Q 8
C,C-,C—
License #
jW -20Q6
to and or who has produced
(Seal)
JEAN M. CHIARENZA
�' • n Notary Public . State of Florida
' Commission # GG 322728
.14 aF r. My Comm, Expires Apr 1 t, 2023
Banded through National Notary Assn.