HomeMy WebLinkAboutRoof inspection affPlanning & 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 # aeoa ^
I�` rA '"MeAb(licensed as a(n)Contractor*/Engineer/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 q� J'� ZOZ-0 , I did personally inspect the roof deck nailing
(Date)
work at
112>0 b ?i-2Ymu
Based upon that examination I h
edition of the F a lsti u
is most s ent). /
STATE OF FLORIDA
COUNTY OF 5Lr C-
al�
(Job site address)
?termined the installation was done according to the current
Code Section 708 or the product approval submitted (whichever
ZZ,� 1�S
License #
Sworn to �nd subscribed before me this � day of �� ' 20 �
_
by,llbGYrrVeAW" who is personally known to me or who has produced
L.1 U as identification.
Notary Public, State of Flori a ju�)
Signature of Notary:
Commission Number: (Seal)
En
RKiR
ic State of Florida
ONCHUKsion GG 098831
27f1021