HomeMy WebLinkAboutRoof Inspection 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 #
licensed as n)Contractor*/ ngineer/Architect
(Please print na & circle license t *FS468 Building Inspector
*General, Building, Residential or Roo ing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about �/2-f6t did personally inspect the roof deck nailing
ate)
work at: l�
(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
STATE OF FLORIDA COUNTY OF A&-n )
License #
Sworn to and subscribed before me this �[q day of {�N 6O-E 20 a L)
b Who is personally known to me or who has produced
y as identification.
Notary Public, State o#�FJe�,'da &'—A
Signature of Notary: (� d�-�-*�—
Commission Number: 0 c?1 �l _ e
MARIANA BARRETT
r °
En = �•,, Notary Public - Stete of Florida
? Commission s GG 028951
�= M Comm. Expires Sep 11, 2020
°',9 ;;`�� Bonded through National Notary Assn-