HomeMy WebLinkAboutRoof AffidavitPlanning Development Services
Building Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462M2165 or 772=462m2172
Fax: 772ow462.6443
ROOF INSPECTION AFFIDAVIT
licensed as a(n)Contr
name & circle license type)
actor*/Engi nee r/Arch itect
*FS468 Building I
nspector
!, Building, Residential or Roofing Contractor or any individuaIr ertified under 468 F.S, to make such an inspection.
On or about
(Date)
c�
work at:
Based upon that examination I
Re. Permit #
I,
(Please print
* Genera
did personally inspect the roof deck nailin
P.
r
(lob site a ddre)
have determined the installation was done according to the current
edition of the Florida Existing 13u
is most strigent),
Signature
STATE OF FLORIDA
COUNTY OF
Swo
by I
to and
f lQ �
d Seal
it
ding Code Section 708 or the product approval submitted (whichever
�---j
subscri11114111.bed 1:)e ore me this �_ da
�IIIk 11 1 �r Whoet
�is n_ nally k In n xA.,., +„ ....,
as identificat
Notary Public, Stat
Signature of Notar
Commission Ni"rnk
%I I .
En
License #
2 nil,
who has produced
(Seal)
*RON B
* + f J
HOVANNA NEC
G 34 20
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