HomeMy WebLinkAboutRoof Inspection affidavit Planning & Development Services
LUCIE Building& Code Regulation Division
2300 Virginia Avenue
D Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
�- censecl as a(n)Contractor*/Enginee r/Architect
(Please pr' t 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 aboutZr-;p `� I did personally inspect the roof deck nailin6
(Date)
6;vz work at: z .���� "
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition oft e F a Existing Building Code Section 708 or the product approval submitted (whichever
is most " n
n ure and Seal License#
STATE OF FLORIDA
COUNTY C
-�O- . doe�
Sworn to and subscribed befor me t is c ` day of
by V'WVN r Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: Seal)
En
AUDREY B,HUMPHREY
MY COMMISSION#
GG 300817
EXPIRES•
.Mar
ch 6,2023
F Bonded Thru Notary public Underwriters