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: Perm it# t_? 1 13 ` 0'7 Z6
I,`To%&y,^ _ .y�1n4licensed as a(n)Contractor*/Engineer/Architect
(Please print name & 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 I did personally inspect the roof deck nailing
(bate)
r work at: -Z 391L�Q)�� 1
(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).
1&f�
Signature and Seal
( t 33°(GT
License #
STATE OF FLORID
COUNTY OF
SworrKo and subs ', ed before me this 3_ day of 20L
by Who is personally known to me or who has produced
as identification.
Notary Public, State of Flor'
Signature of Notary: mg4
Commission Number (Seal)
En
�•"""'�� ANGELA M HUFF
Notary Public - State of Florida
a ti •= Commission # FF 234730
My Comm. Expires May 27, 2019+
Bonded through National Notary Assn. I�
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