HomeMy WebLinkAboutRoof Inspection Affidavit • I�
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
I
Re: Permit# 17/[—()q
1, s licensed as a(n)Contra ctor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or oofing contracto or any individual certified under 468 F.S.to make such an inspection.
On or about I did,personally inspect the roof deck nailing
(Date) ) j
work at: � I►�L LV6 �D7 �` RT,-e'CL ' Z,
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Exlstirig Building Code Section 708 or the product approval submitted(whichever
i ost stri e
Signs ure and SeW License#
STATE OF FLORMA
COUNTY OF /h�i�•�`"
Sworn to and subs "bed before me this ! day of 20-0
by—. �. d � Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida/ �)
Signature of Notary: _ 4
Commission Number: ,(Seal)
En
TERESA L BENN'F _{
"!Otary Public-State4ol Florida
�•; ,. =ivly'Comp:;.r-
; . lc;; plres Dac 29,2017
Commission dr FF
.. E"Cial;5roi T7718
:.�;r� d
9hPlationalf�oiaryAssn.
i
I .
I'd 699 0110 J qo�j