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 # Zt-*"' C"') -7
I,icensed as a( )Contractor*/Eigineer/Architect
8
(Please print name circle license type *FS468 Building Inspector
*General, Building, Reside tiol or Hoofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 7 5�% I did personally inspect the roof deck nailing
ate)
work at:
(Job site a
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 s rigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF 1'9 1417"
License #
Sworn to and subscribed before me this P21 day of 20--16,by who is personally k wn to me or who has produced
E'er as identification.
Notary Public, State of Florida
Signature of Notary: A,# r ` A_.,4 r
Commission Number: G 6 / b 7.257 (Seal)
En
;: `a' •., TERESA BENNIGAN
Notary Public- State of ftdr-a
Commission # GG 167257
:,• h1y Comm. Expires Doc 29.2021
s pec �ro WWI Notary Assn