HomeMy WebLinkAboutRoof Affidavit Planning& 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#'A > C°k `fit`(":;
I, MU\S( V1 licensed as a n Contractor m En eer Architect
(Please print name&circle license 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 about Ob D . 02 I did personally inspect the roof deck nailing;
(Date)
work at: t0(00Lf (—'�)Ck�4 RYC� PCB . �QY k PtQ,Y
(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).
M '# cc # 1�31 0
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
i�
Sworn to and subscribed before me this 1 - day of it 20
by )''4'\k e\�4 Who is personally known to me or who has produced
as identification.
Notary Public,State of Flor da
44
Signature of Notary: o i ..eL4t �� Ruth Eunice Cardero
Commission Number: (Seal) NOTARY PUBLIC
STATE OF FLORIDA
En a =Comm#GG930957
. Ne Expires 11/12/2023