HomeMy WebLinkAbout2101-0488 Roof 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# Al M ` U
VU,V ,,igerised4s 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 ) // -? / -7 � , I did personally inspect the roof deck nailing
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work at:
C Aim
(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 al ` License#
STATE OF FLORIDA ' ,
COUNTY OF 7Z+L W-, e—
vzi r
Swo�i to and,ub cribed afore me this day of 20a`
by ]� S. Who is personally known to me or wh has produced
s as identification.
Notary Public,State of#IidaLori A.DeSaW,c�Qj NOTARY PUBLIC
Signature of Notary: o -ESTATE OF FLORIDA
Commission Number: (Seal) CormrGG130649
soh En Expires 10/20/2021