HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Divislon
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Zcb6-vS lq
I, Gb c licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) •FS468 Building Inspector
*General, Building, Residential or Roof+ng Contractor or any Individual certified undir,168 F.5. to make such an inspection.
On orabout 07 /Z l hD LG ],did personally inspect the roof deck nailing
(Date)
work at: 06 NNt1�t?C0 4 ..fLl
(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 1
Signature and Se
STATE OF FLO * &. 0— +' COUiVTYOF 'i-TG .
CU-133JI10
License #
S to -a ubscr e e o me this Z I day of �) J 20�
b Who ispersonally known to a or who has produced
as identification.
Notary Public, State of
Signature of Notary:
Commission Number, 02 I BRANDY MOORE
°.Notary Public -State of Florida
Q0..
Commission a GG 102838
EnMy Commission Expires
May 09, 2021