HomeMy WebLinkAboutRoof AffidavitRe: Permit # Q)
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
I, z"Ct l licensed as a(n)Contractor*/Enginee r/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 ID -j _,� --,�Q , 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).
STATE OF FLORIDA ,
COUNTY OF
031
license #
1
Sworg to and subscribed before me this day of 202
by SLG Q C/ Who is personally known to me or who has produced
as identification.
Notary Public, State of
Signature of Notary:
Commission Number: (Seal)
En
" DANIELLE SPEAK
�PRY PUB i,
.State of Florida -Notary Public
Commission # GG 217794
My Commission Expires
May 15, 2022
11