HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
_ Building&Code Regulation Division
COUNTY
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#_ U `' O
I, � 'Ls-ovW...AA(Jigensed as a(n)Contractor*/E ngi nee r/Arch itect
(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 7 1 did personally inspect the roof deck nailing
(D/ate)
work at: f��U 0✓t IC�
(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 and Seal License#
STATE OF FLORIDA
COUNTY OF '(T L u c, e
SWT to and subscribed before me this��� day of 2o--L7-
byj � ���' s personal n tame r who has produced
as identification. R EC ice..,
Notary Public,State of Florida JUL 2 7 2017
Signature of Notary:
Commission Number: =Se
En
AUDREY B.HUMPHREY
MY COMMISSION#FF 174772
EXPIRES:March 6,2019
Bended Thru Notary Public Underwriters
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