HomeMy WebLinkAboutroof affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
NEW Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1 ��
I,rchad 01PAlensed as a(n)Contractor*/Engineer/Architect
(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 z c (,! , I did personally inspect the roof deck nailing
(Date)
work at: Vd
(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).
�, ;
( 2� 1 C
Signature and Seal License#
STAVE OF FLORID
COUNTY OF (.
SW o t d subs f e me this day o#— =r v—� r — off- `'
by '����d� W o i to me or who has produced
as identification. � �g1r pj�iEs
ti uC
Notary Public,State of i id EXPIRES_g-to0i4,206
Signature of No ry: Bonded through 1 stStE insur�z
Commission Num er: (Seal)
En