HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & 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, au'yVvu1 licensed as a(n)ContractoO/Engineer/Architect
(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 i I 1 �202t1 I did personally inspect the roof deck nailing
(Date)
work at: R—(—):3 Pom a'lac-, Ala—w
(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 St ' t).
Signature and Seal
STATE OF FLORIDA
COUNTY OF �9j Lu.G�
13� 12 (09-
License #
Sworn to and subscribed before me this 3D+i", day of 0110VM-11l _ 202Q,
by C�c�V-r-,n Who is personally known to me or who has produced
L-1 as identification.
Notary Public, State of Florida
Signature of Notary: , f
Commission Number: 00G�:J�=1U
919
state a Florida
En es
n GG 885470
/2024