HomeMy WebLinkAboutRoof AffidavitPlanning & 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
2 �/ai /� Q
Re: Permit # E 1 n
1, ".j J LA L--Jdensed 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 459 F.S. to make such an inspection.
On or about Z-� �� I did personally inspect the roof deck nailing
(Date)
work at: 0 Z-- 4� c
(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
is most strigent).
Signature and Seal
STATE of FL [ A _
COUNTY OF
6 �- 0 Q(J, �-, - �
License #
Sw to and subscribed before me is . / day of 20 7/,
by Q is na I nwn to me or who has produced
as identificatian.
Notary Public, state of rids
Signature of Notary:
Commission Number: (Seal)
En
K
ary' Pubic Suft of Ft6ncla
anda P Sanderson
YComneiasion GG211256
ires 04/25/2022