HomeMy WebLinkAboutRoof Affdavit Planning & Development Services
. ....... `J Building & Code Regulation Division
2300 Virginia Avenue
r Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I as a n ontracto En ineer Architect, �I � . n licensed ( ��/ g /
(Please pri t name&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 1 did personally inspect the roof deck nailing
(Date)
work at: 1 t ` 'yrl ro GL
(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 611 or the product approval submitted (whichever is
ost str' ent).
ccc I
Signature andteal License#
STATE OF FLOR A 1 t
COUNTY OF wP e
o Janett Miles
2 Notary Public.State ofFltxit�a
Savor an sub ,crh''bed efor me this� day of 0 20� �„ commission#GG 5t0
by ,� /v l \Nho issersonally known to a or who has produ �'�oF F,�� Expires 11130i202
as identification.,
Notary Public,State of Flo ida C1 '
Jant.iSignature of Notary: \,: NotaryF :atet r :r%ia
Commission Number:
En 01/19/2011