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 # / vt
I, kin, t, 4 licensed as a(n)Contractor*/Engineer/Architect
(Please print ame & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 2- n I did personally inspect the roof deck nailing
(Date)
work at: 0 (1 Sut-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of e F rida Existing Building Code Section 611 or the product approval submitted (whichever is
most str'
re and Seal
License #
STATE OF FLORIDA
COUNTY OF r 1 J—,3z��
Sworrj4o and subscribed before me t da20l% G0
by has produced y w
n a e
as identification.
Notary Public, State of Flor' a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011