HomeMy WebLinkAboutRoof 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#
1. �
el elm Q licensed as aContractor* n ineer
g /Architect
(Please print name & circle license ty *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 3 () QO , 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 most strigent).
Signature an eal License #
STATE OF FLORIDA
COUNTY'OF F2,r0-1L:' 1 ,r-
Sworn to and subscribed before me this 3 day of �� ' '� 20_
by ' 0-0
Who is personally known to me or who has produced
as identification.
Notary Public, State of Flo d
Signature of Notary:
Commission Number: (Seal)
En
•• •.k Loreley Greene
Comm.#HH029487
y�
28, 2024
Thru