HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
4 Y 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#
I, CASs ' , licensed as 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 , I did personally inspect the roof deck nailing
(Date)
work at: Ft..ew-e,�
(Job site address)
Based upon that exa on I have determined the installation was done according to the current
edition of the FI da Exi in- uilding Code Section 708 or the product approval submitted (whichever
is most s 1 t).
Signature and Seal License#
STATE OF FLORIDA T
COUNTY OFI ell
� �e
Sworn to and subscribed before methis day of (` 20d)
by Al Who is Pers ewf%to me or who has produced
as ideM4fication.
Notary Public;State of
Signature of Notary:
Commission Number: (Seal)
Ik
=CATHERINEJIMENEZMENEZEn e of Florida 921213ober 8
,2023