HomeMy WebLinkAboutRoof Inspection Affidavit I
_ T Banning & Development Services
Building&Code Regulation Division
1300 Virginia Avenue
Fort Pierce, FL 34982
772462-2165 or 772-462-2172
ax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1% L)C� ` v 3
I, urn r c•La Dt((fiensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
General,Building,Residential or Roofing Contractor or any Fndividuol certified under 468F.S.to make such an inspection.
On or about l'a/ 3 T , I did personally inspect the roof deck nailing
(Date) I
work at: 3 ci.
(Job site address)
Based upon that examination I have determi led 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 License#
STATE OF FLORIDA
COUNTYOFre
Sworn to and subscri ed before me this day of C
W. ho_s oersb____Wally known tome or who has produced
as identification 1
Notary Public,State of Florida
Signature of Notary.,
Commission - " E
Commission Number: GO, LS lkY (Seal)
En
PAULETTE BLAIR•ALEXANDER
Notary Public-Stale it Florida
y` Cpmmisslon Ff 995699
,oF�t My Comm.Expires Sep.6,2020
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