HomeMy WebLinkAboutRoof Inspection Affidavit 'Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# )o-�-- �'V 7)--
I, ( licensed as a(n)Contractor*/Engi nee r/Architect
(Please print na &circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about LA r!e) "
�"`� I did personally inspect the roof deck nailing
(Da
work at: 23 63 6,—� `-"fir
(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 mos i
CCU 3
ignature d Se"I- License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of f'�\ 20J
by g f Who is personally known t6 me or who has produced
c— as identification.
Notary Public,State Florida
Signature of Notary-
Commission Number:G-6 (Seal)
En