HomeMy WebLinkAboutRoof Affidavit 04.07.2020 02:18 PM 7723350343 P 1/ 1
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, F6 34982
772-462-216S or 772-462-2172
Fax: 772-462.6443
1100F INSPECTION AFFIDAVIT
Re: Permit#
I, licensed as 4E�
ineer/Architect
(Please print name&circle license *FS468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an Inspection.
On or about , 5, -7 :W . I did personally inspect the roof deck nailing
(Date)
work at: Elul
(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 strlgent).
Signature and Seal License#
STATE OF FLORI �g
COUNTY OF
Sworn to and subscribed before me this 7 day of AW 20_Zo
by A.& Who Is personally known tb me or who has produced
as identification.
Notary Public,State o d a .,�
Signature of Notary: 'rQYp" y. JAM ORTIZ
Commission Number; : p{�tary Public•State o'Fiorlr'- !j
p' a'j commisslon b 60 2281»
.% My Comm.Expires Jun t 3.20;a;
En Bonded through National Notary Ass^.