HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services
Building& Code Regulation Division
COUNT y F77 !!, 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 10 Z°-a
I,,TckNwC ,t,mr.oc--, licensed as a(n)Co ntractor*/Engi nee r/Arch itect
(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 personally inspect the roof deck nailing
(Da e)
workat: tW0 '6c 11 ea%2 d.t�
(Job site address)
Based upon that examination I have determined the installation was done according to the current
io of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
trige
Signature and Seal License #
STATE OF FLORIDA `
COUNTY OF
Sworn to and subscribed before me this�_day of 20_4
by 1 C(j):)j)9_)j . Who is personally known to me or who has produced
l / as identification.
Notary Public,State of Floa
Signature of Notary: '
Commission Number: 61 (S ELLEN VAUGHN
;2o`�YPbe<i-,State of Florida-Notary Public
En _ •_ Commission # GG 270079
-* Expires
?�a9 Qa: My Commission 2
°;;;°` October 22,