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
1, 1' ensed as a (n)Contra ctor*/Engi nee r/Arch itect
(Please print n e & 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 4(Dte)�
I did personally inspect the roof deck nailing
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 str' ntl
Sign tune and Seal
STATE OF FLO
COUNTY OF
License #
Swer o s s 1 f
phis day of
Zp
by 1
_
.Who is personally known to me or who
has raduced
as identification.
'
K:VIHE4tNF HAVENS
Notary Public, State o55yDt`#c
P,
G. i6'
Signature of Notary:
Commission Number.
(Seal)--•--a—
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En