HomeMy WebLinkAboutroof AffidavitTs'
Permit l
Planning & Development Services
Building & Code Regulation Division
230Q Virginia. Avenue
fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
* Gen eral, 8 uddin g, Residen al or R opfin g Con tro ctor or o ny indi viduaI certified under 468 F. S. to make such an ins p e c bon-
+Dn or about
(bate)
I did personally inspect the roof deck nailing
work at: 139� !�1_MacrlyNkoL' AN& p'<L
(Job site address
T
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 FLORf� A
COUNTY OF
Sworn to and subscribed before me this
b
Notary Public, State
Signature of Notary:
Commission nNumbe
En
J
Who is
cc.� SP%7141
License #
day of 20
�Y known to me or who has produced
as identification.
of FI
r:(Seal)
e. licensed as
a(n)Contractvr*/Engineer/Architec#
(Ple e print
name $c circle
license
typed
*F5458 Building
Inspector
* Gen eral, 8 uddin g, Residen al or R opfin g Con tro ctor or o ny indi viduaI certified under 468 F. S. to make such an ins p e c bon-
+Dn or about
(bate)
I did personally inspect the roof deck nailing
work at: 139� !�1_MacrlyNkoL' AN& p'<L
(Job site address
T
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 FLORf� A
COUNTY OF
Sworn to and subscribed before me this
b
Notary Public, State
Signature of Notary:
Commission nNumbe
En
J
Who is
cc.� SP%7141
License #
day of 20
�Y known to me or who has produced
as identification.
of FI
r:(Seal)