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#
I, CAsr-c,r rvCAA!�f , 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' �C. _"'o I did personally inspect the roof deck nailing
(Date)
work at: 9-5-0 Cv -F�t pies_
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th Flori xis ing Building Code Section 708 or the product approval submitted (whichever
is most st g
�cGoss-s-�3 I tons-�
Sign ure and Seal License#
STATE OF FLORI
COUNTY OF
�
Sw,GF.ki to and sub c ibed before me this day of T 20 2�
by U(,f Who is personally known to me or who has produced
as identification.
Notary Public,State tloCa v ,` RENEE PHILLIPPE
Signature of Notary: a`$ m� Notary Public,state of Florida
Commission#GG 179276
Commission Number: Ski Umm.expires Mar.4,2022
En
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