HomeMy WebLinkAboutRoof Inspection 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
Re: Permit #
I, M�GhaP�• Ylicensed as a(n) ntractor /Engineer/Architect
(Please print name & circle license type)'_ *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.5 to make such an inspection.
On or about
I did personally inspect the roof deck nailing
,(Dater)
work at:
(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 FLORA
COUNTY OF yt Lvc,,e
CCC o32:jg8
License #
Sworn to and subscribed before me this day of 20_,
by KCIV,ek K 11AJ1 . Who is personally known to me or who has produced
as identi ica ion.
Notary Public, State of F ri
Signature of Notar /z /�— KOVIN NEUBAUER
g y' Mi �dMMISSION # GG 0678N
Commission Number: (Seal) KXpIKES:Jamary30,2021
it � ihN Nobly Public UMferwr M
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