HomeMy WebLinkAboutRoof Affidavit Planning & 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#!q1C_ ��-
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print namA circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about /"t , I did personally inspect the roof deck nailing
(Date)
work at: g 4� — r-1 i e.✓CP
(Ob 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). / /�
GI�/ 6-c C
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF f � d&l h
Sworn to and subscribed before me this day of 20:�
by fG� �r _. Who is all known tom r who has produced
as identification.
Notary Public,State of Flor' ��
Signature of Notary: l G�/`�` `�—�� �ot"".�".� DAYNAJ,REGIS
Commission Number: .3 (Seal) + * 00mmissionhHH063320
ExPlres October 14,2024
FOF F�° ea,a.e Thu&idpN No Wy Sanlas
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