HomeMy WebLinkAboutRoof inspection affidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-21.65 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
1, VAn coif 10�) licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Resfd ntial or oafing 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: ,/ 75 m1 ��� & f7" 8(6�-2
(Job site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the Florig6fisting Building ode Section 708 or the product approval submitted twnicnever
is most strigent)
Jc�
Siena re Ad Seal. ----- License #
STATE OF FLO D '
COUNTY OF
Sworn 0 ana subscrib' efore
by J �J
Notary Public, State
Signature of Notary_
Commission Number:
En
this 0� 9 day of J UW 26?5_;
Who is personally known to me or who has produced
as identification.
(Seal) i
t� PRY ptJBUG
STA'T'E QF Fl"OPJaA
Cates GG022300
914!2020.