HomeMy WebLinkAboutRoof Affidavit11 Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
50.wlt- Fort Pierce, FL 34982
IMMOMi772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 401 C — OW9
IjAi0ri Xd A DLQWensed as a(n Contractor* Engineer/Architect
(Please print name & circle license type *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 458 F.S. to make such an inspection.
On or about , I did personally inspect the roof deck nailing
(Date)
•
Qn�ul k
.. 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 strig nt).
Signature and Seal License #
STATE OF FLORIDA - /
COUNTY O
Sworn to and subsc !bad be r m his �— day of �.1C.LG//ly 209D
by Who is personally known to me orwho has produced
as identi nation.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
Notary Public State of Florida
Leslie Brawn
e9ly Commission GG 920786
er Expires 10/08/2023 - -