HomeMy WebLinkAboutRoof Inspection Affidavit (2) Planning & 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# Z Go1,'-0 2 t s—
I, , licensed as a(n)Contractor*/Engineer/Architect
(Please print n ime&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 - l Z -2-0 , 1 did personally inspect the roof deck nailing
(Date)
work at: 5-3 d'2 1-C �i tvb
(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 stri t)
Signature and Seal License#
STATE OF TY FLORIDA I
COUN OF �— L uQ
Swo . o and subs aped before me this_L1 day of ✓U✓le 20w
by UeLyj who is personally known to me or who has produced
as identi ication. , ILt fc4- (i o' n'1(,r S f C"�' pre cq
Notary Public,State ofLlorci—L
Signature of Notary:
Commission Number: (Seal)
En
RENEE p1JILLIPPE
°�a� Notary Public,State of Florida
o Commission#GG 179276
.ex ires Mar.4,2022
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