HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
r-3rt Pierce, FL 34982
- 2-462-2165 or 772-462-2172
- 3x: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit
IA% CbC 6 tiJ[ l licensed as a(n ontract /Engineer/Archltect
`41ease print name & circle license type) *FS468 Building Inspector
*General, Building, Residenti l or Roofing Contractor or any individual certified under 468 F.S. to make such on inspection.
iin or about I I I did personally inspect the roof deck nailing
tuate j
work ad -, her+ O P , P,
(Job site address)
Based upon that Vfmination I have determined the installation was done according to the cur rc
edition of thZ,.Mz
�F,%�( ti u Iding Code Section 708 or the product approval submitted (wnichevr,
is most-nri
r
24G��s 9
Signatu a and Seal License #
STATE OF FLORI
COUNTY OF
Swor a sub r'be or e this^ day of Zp
by Who is personally known time or who has produced
as.4dentification
Notary Public, State of Fla '
�7 zt)'I'�
Signature of Notary.
Commission Number: rSe2!�
n a
llotary Public State of FWW*
Melissa Wall MYCOmmisslonGO115839
Expires 10l08/2021