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 # `
I walz U
cgnsed 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 J' I did personally inspect the roof deck nailing
(Date
work at:
(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 mo 'g,
License #
STATE OF FL RID,
COUNTY OF
Swo u ri f r$ this day of
by Who is personally known to me or who has produced
as identification.
Notary Public, Sta "' KATHERINE HAVENS
Signature of No ry: _: "�.--s" MY COMMISSION #GG165030
Commission Nu EXPIRES: DEC 04, 2021
(Seal) Bonded through 1st State insurance
En __