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
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1, t l 61�ensed as a(n)Contractor*/Engineer/Architect
(Please print me & circle license type) *FS468 Building Inspector
*General, Building, Resi entiol o Roofing Contractor or any individuol certified under 468 FS. to make such on inspection.
On or about I did personally inspect the roof deck nailing
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work at:
(Job site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the Floricjsting�uilding ode Section 708 or the product approval submitted (whichever
is most strigent)l I
STATE OF Ftp R O
COUNTY OF
Swi n to and sub'sdib�d before
Notary Public, St to of
Signature of No ary:
Commission Nu be
En
License #
me this day of t 20c;:
A Who is personally known to me or who has produced
�l as Identifieg0oh.