HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2c)07o 193
I, l M()c 'd 01 101liensed 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 I I( I did personally inspect the roof deck nailing
(Date)
work at: 213C) 1f� Yi�"
(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 SLngent).
ra
Signature and Seal
STATE OF FLOR
COUNTY OF �
- ) 21XM- (0
License #
o � ubscr' �eQr this l t day of � ( 20bbTy Who is personal) kn wn to a or who has produced
as identification.
Notary Public, State
Signature of Notar
Commission Number: 1 % (Seal)
oipy:pe
2� KATHERINE HAVENS
En (lYCOMMISSION
EXPIRES: #GG165030
�R .. DEC 04, 2021
Bonded through 1st State Insurance