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# �o
00[IZ..?-2)(49
VNa' N� ,}fce sed as a(n)Contractor*/Engineer/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 —) t o I did personally inspect the roof deck nailing
(Date)
work at:
(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 License #
STATE OF FLOR
COUNTY OF '
SwptQ to and subscribed before me this day of 20
by Who is personally known to me ho has produced
as identi (cation.
Notary Public, State oMorida
Signature of Notary:
Commission Number: (Seal)
Notary Public State of Florida
En Notary
Amanda P Sanderson
My Commission GG 211256
NJ Expires o41251202Z