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 # JJ
I, Y +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 I did personally inspect the roof deck nailing
(Date)
work at: �1n .�emI)VI
.. 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 strige
Signature and Seal
STATE OF FLORID
COUNTY OF l uc
License #
Swor o and subsccrr'b be or eethis day of 10 20�
by J UVl I C. Who is personally known tome or who has produced
as identification.
Notary Public, State of on a --.�_
KATHERINE HAVENS
o...,....;�.'
Signature of Notary:
2,.
g Y� MY COMMISSION #GG165030
Commission Number:_,_ EXPIRES: DEC 04, 2021
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