HomeMy WebLinkAboutRoof AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, F! 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # L—
1licensed as a(n)Contractor*/Engineer/Architect
(Please prin name &circle Incense type)
FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or aboutGQ 1 did personally inspect the roof deck nailin
Date
work at:til cd
(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).
4 L) \ / "-1 UzLt_:�
Signature and Seal
C" C-
License #
STATE OF FLORIDA
COUNTYOF
�,wO to and subsc ed for e this .ay of -A-,(
� f✓1 t'�,' who is personally known to me or who hasr
as Identific n. produced
Notary Public, State of F{ rid
Signature of Nota\,
KATHERINE HAVENS
Commission Number: Nty cowAISSION #GG165030
En EXPIRES. DEC 04, 2021
2Z, Bonded through 1 st Stare Insurance