HomeMy WebLinkAboutRoof insp affPlanning & Development Services
f - 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 # i9 b) b, C�qW
I,hi C— atd 6?I� as a(n)Contractor*/Enginee r/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or hoofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about _ �' �? / a? _ I did personally inspect the roof deck nailing
(Date)
work at: q ;-J _ LD n esbry-e--Piit I rZ ._
(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
STATE OF FLO
COUNTY OF
License #
Ss n to and su scribed before me this q� day of (o�� - 203�j
byt% dQ L14 ILA) IGUEI �. ho is ersanally known tome or who has produced
as identification.
Notary Public, State o lorida
Signature of Notary:
Commission Number: NN rD-(Seal)
En sWJkiE Notary Pubk State of Florida
Amanda P Sanderson
y � My Commission GG 211256
�� Rp Expi4es G4I2512022