HomeMy WebLinkAboutRoof AffidavitPlanning & 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 #I
A
, �P C '-
Ilc usse as a(n)Contractor*/Engineer/Architect
(Please print 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 I did perscnallnspect the roof deck nailing
(Date)
work at: 1 p
(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
i most strigent).
Signature and Seal License #
STATE OF FLORID
COUNTY OF CA-L Y cX
S rn to and su sc i d fore me this V day of 4q�OV U Q 20
b Who is personally known to me or wh6 has produced
as identification.
p1MY Lori A. DeSalvo
Notary Public, State of F or a< o, NOTARY PUBLIC
Signature of Notary: • o � -STATE OF FLORIDA
Commission Number: (Seal) ` _ Comm GG130649
s�NCE 19�� Expires 10/20/2021
En