HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
F = 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, licensed as a( 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 01tx.lh
1l� • , I did personally inspect the roof deck nailing
i( ate)
work at: -TOOZ. ` illiof
(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).
zq��de- & 4
eA ZIA X4 --. �0�R.j
Signature and Seal License #
STATE OF FLORIDA p /
COUNTY OFf� "J"'`J
Sw rn to and subscr' erl efore this day of�-20pp
by i Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
Nc ary Public Stales d Florida
Leslie Brown
swn V 920786
F.xpi ttl !l12Q23