HomeMy WebLinkAboutRoof inspection affPlanning & 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 #_Slc_
licensed as a(n)Contractor*/Engineer/Architect
(Plea 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 on inspection.
On or about Z J 1 did personally inspect the roo
(Date) f deck nailin
work at: (nfxG 'yam,01 ys;� ��,
(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).
yz: � � //Z-
Signature and Seal
C C� s
License #
STATE OF FLORIDA
COUNTY OF AA
to
by and subscribed before me this day of to Zp�
by Who is personally known to me or who has produced
as identification.
Notary Public, Stat a
Signature of Notary:
Commission Numbe �
En p"',I", KEGA' RD
MY CD1 i tOSS
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