HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
i -` ► r Building& Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# D I 03 —3 �'
1t' + ..Lx. ,` , xx4icensed as a(n)Contractor*/Engi nee r/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such on inspection.
0n or about d(3 . 1 did personally inspect the roof deck nailing
(Date)
work at: �11 r
(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
st strigent).
/�2� C.C . c �
6S
and Seal License #
STATE OF FLORIDA
COUNTYOF—
Swpm to and subscr' ed before me this day o 20&
b 0�. Who is perso known to ie or who has produced
as identificati
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En _-
P'vvu, AU B.HUMPHREY
*: n4Y COM%IISSIO, iP GG 3G0817
EXPIRES:1�Raroh 6,2023
••rF�FF�°.; Bonded ThruNctoryPub lie l.�d�rvrtiters