HomeMy WebLinkAboutRoof Inspection Affidavit i
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
'R : Permit# ` D +
I, CYJ "S-licensed as a(n)Contractor*/Engi nee r/Architect
Please print name&circle license type) *FS468 Building Inspector
* eneral,Budding;.Residentialor Roofing Contractoror any individual certified under 468 F.S.to make such an inspection.
n or about A)OIDAV 1 I did personally inspect the roof deck nailing
(Date)
ork at: lo Z.V1 .r
(Job site address)
B iseck upon that:examination l have determined the installation was done according to the current
e itio of the:Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mo strigent).
QCC-ySW-
'gnature and Seal License#
STATE OF FLOR. A ."
COUNTY.OF
S to and=5hl
ed before me this day of Dec • 20
b —L 01�1 Whc'is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Si nature of Notary:
Commission Number: U V (Seal)'
I
E
AUDRIY B.FII>41PFIRfY
EXPIRES: %20192
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