HomeMy WebLinkAboutNailing Affi 106 Las OlasPlanning & 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 #
I, li nsed as n)Contractor*/Engineer/Architect
(Please print name & ' cle 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\ , I did personally inspect the roof deck nailing
t (Dat
work at: 0 U _ �
(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 FLORIDA
COUNTY OF _ ze
License #
Sworn to nd subscribed before me this "day of V 20LO
by rry &&a • Who is personally known to me or who has produced
qX_Was identification.
Notary Public, State of Florida
Signature of Notary: 4j'_"L' I�Zj
Commission Number: 2z (Seal)
En
[.,,,
LYME 5. DORCE]24
Notary Pubiic -State oCommission GG 9^' My Comm, Expires Mar
9onded through National Not