HomeMy WebLinkAboutRoof Affidavitl Planning & Development Services
Building & Code Regulation Division
COUNTY 2300 Virginia Avenue
# Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2-01 ZT 0363
I, A licensed as a(n)Contractor*/Engineer/Architect
(Please print naA & 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 i 21 , 1 did personally inspect the roof deck nailing
11 (bate)
work at: l�
(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).
Sign re and Seal
STATE OF FLORIDA
COUNTY OF lu.
License #
SwoR to and subs ibed before me this 25"_ day of 202 ,
by ,CQ VYLQD�ip� Who is personal) kn n to me or who has produced
_ as identification.
Notary Public, State of Flori a W�
Signature of Notary: (� yv% Notary Pubim State of Fior4e
Commission Number: �fPame�2nJ0 n GG 985e70
P (WVj�aM1O� ExpiresO"/1512024
En Ji