HomeMy WebLinkAboutRoof inspection affRe: Permit #�
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
licensed as a( Contractor*/ ngineer/Architect
(Please prl 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
(Dat) ,
r nn11
work at: _ , �� o
(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
STATE OF FLOIRIDA
COUNTY OF
License #
Sworn to and subscribed before me this day of �ui. 20
by 7D9A, %Akl. TZ44L Who is personally known to me or who has produced
as identification.
Notary Public, State of F pEWa
Signature of Notary:
Commission Nu er: (Seal)
r
En L""�
EGAN CRAWFORD
Y COMMISSION # GG265055
XPIRES October 03, 2022