HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division`
2300 Virginia Avenue
Fort Pierce,'FL 34982
772-462-2165 or 772-462-2172
Fax: 7-72-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 3 (�
1; }li sed as a(n)Coptractor*/Engineer/Architect
( lease print n e.& circle.license type) *FS468 Building Inspector
*General, Building Residential or Roofing, Controdor orany Individual certhed undgr458 F.S. to make such,an inspection..
On or about. D,1 W I7. , I did personally inspect the roof deck nailing
work.at: 1Ay6. .
(Job: site address)
Based upon that examination I have determined the installation"was done. according to the current
edition S the Florida Existing Building Code Section 708 or the product approval submitted (whichever
os
Signature and Seal.
STATE OF FLO
COUNTY OF
License #
Swo to and subsc i a this day of_— 20--V
b who is personally kno{vj to me or ho has produced
as identification.
Notary
tureofNoState
ry:.. �
Signature of Notary /
Commission Number:.- --^'� KATHERVE HAVEPIS
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En g�j '' { EXRRESt DEC 04. 2021
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