HomeMy WebLinkAboutRoof AffidavitRe: Permit # 2010 -0359
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
Z,Clicensed 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'2.2_�� I did personally inspect the roof deck nailing
( ate)
work at: PA
(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 igent).
i
Signa and Seal
STATE OF FLORIDA
COUNTY OF
by nn t
o and su
by
C ., ( ( ztpi
License #
before me this =W day of e1 _ 20
Ili— Who is personally known to me or who has produced
Nl:t as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: On
En
AV meig Notary Public State of Florida
4F, IN fv�LPamela Jones
My Co"irnamon GG 985470
COUNTY
F
IL
0
R.
I D A
Re: Permit # 2010 -0359
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
Z,Clicensed 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'2.2_�� I did personally inspect the roof deck nailing
( ate)
work at: PA
(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 igent).
i
Signa and Seal
STATE OF FLORIDA
COUNTY OF
by nn t
o and su
by
C ., ( ( ztpi
License #
before me this =W day of e1 _ 20
Ili— Who is personally known to me or who has produced
Nl:t as identification.
Notary Public, State of Flori
Signature of Notary:
Commission Number: On
En
AV meig Notary Public State of Florida
4F, IN fv�LPamela Jones
My Co"irnamon GG 985470