HomeMy WebLinkAboutmatthews rd nail offPlanning & Development Services
Building & Code Regulation Division
3 2300 Virginia Avenue
t
Fort Pierce FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 0r �-7
lfL C . � I`ic nse s a(n)Contractor*/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 lV A I did personally inspect the roof deck nailing
(Date)
work at: V�-f.-4ik J 41 frc<f-�
(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 Seal
License #
STATE OFF ORID
COUNTY o
S n to a d subscr'b d o�f�[ me th l day of 20 ! J
b I_%{� LV� o is personally knowWto me or who has produced
as identification.
Notary Public, State of Arida
Signature of Notary:
Commission Number: (Seal)
En
oW Notary Public State of Florida
Amanda P Sanderson
R
My CommissionGG211256Expires 04l2512022