HomeMy WebLinkAboutRoof Affidavit Planning & 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# W069-05-991
l�
TODD ADDERLY , 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 J 7-9 � ?�Zc�, I did personally inspect the roof deck nailing
(Date)
work at: 3400 S AVENUE
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Buildin Code Section 708 or the product approval submitted (whichever
is moststrigent).
CCC 1327886
Signature a(nd Seal License#
STATE OF FLORIDA
COUNTY OF BROWARD
Sworn to and subscribed before me this 2 day of JL)Vxt- 20ZO,
by Who is personally known to me or who has produced
'te\V4-C \�iC,eo9t. as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En
g
elTrinaye Rorie
otary Public
ate of Florriidd05!04!2624
sion Exp G 9e4254
sion No.G