HomeMy WebLinkAboutRoof AffidavitPlanning & 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
Re: Permit #—�
I,licensed as a )Contractor* ngineer/Architect
(Please print name circle license type *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F S. to make such an inspection.
on or about lG' 0 , I did personally inspect the roof deck nailing
( te)
work at: �"`0 ``,
(Job site addrestf
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 (LORI -QA
COUNTY OF Plar f'
License #
Sworn to and subscribed before me this o? I day of 20.jg(j
by Who is personally kndKn to m9or who has produced
as identification.
TERESABENNiGAN,
hoary pi,Uic - state of Roma
# Commisspr = GG
16T257
hty Gomm. Expires Dec 29.202'
`9jFoF ;.""� BoneC:hro.:yh Naiona k:'zr.. Assn
Notary Public, State of Florida
Signature of Notary: .P.,u `kiC'4`-��r1
Commission Number: Gr C, -1 AS -7
En
(Seal)