HomeMy WebLinkAboutRoof Inspection Affidavit 15.06.2020. 12:41 PM 8637637662 P 1
Planning&Development Services
Bullding& Code Regulation Division
2300 Virginia Avenue
Fort Pierce,Fl,34982
772-462-2165 or 772-462-2172
Fax:772.462-5443
ROOF INSPECTION AFFIDAVIT
Re., Permit#
licensed as a r*/EngineOr/Architect
(Please print name&circle license type) *FS468 Building inspector
*6eneral,Building,Residential or Roofing Contractor or any Individual cert fled under 468 F.S.to make such an lnspection.
On or about _ - 0 0 a I did personally Inspect the roof deck nailing
(bate)'
work ate S �� >
(Job slte ad ress)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever Is
most.strigent).
y - b �
1135
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ~�eC.� c
Sodo�m a�nds scribed before me this?S -_.-'day of `�'- 2p �
by .�� Q Who Is personally khoWh to Me or Who has produced
as Identification.
Notary Public,State of F)o Ida
Signature of Nota
Commission Number: (Seal)
En 01/1912o11
HEATHER EDWAI;pSON
,�; � MYCOMMI9Slt)N i�taG 2'15'185
,g EXPIRES;May 2 i,2022
o vtg '•6oneed Thru Notary P0110 thtttolWritera