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
)OF INSPECTION AFFIDAVIT
M.
Re: Permit# 1 -7.1e)- D,Z?
I, c�c�i�,,A.C,o�My�zicensed 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 1 I did persona lly.inspect the roof deck nailing
ate)
work at: �j,�1 N ?_oLmaG,cz 0,
(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
ism strigent).
Signature and Seal
License #
STATE OF FLORI `
COUNTY OF �—�
Swor to and subsc ' ed before me this 1 day of , � 7
by 6 Ii ho is personally known to me or who has produced
as identification. ^ n
Notary Public, State of Flo id
Signature of Notary:
Commission Number:
�;;;;;,
ANGELA M HUFF
En ,otPaY P�A�c
Notary Public - State of Florida
'aA "
Commission # FF 234730
N 1' j
M Comm. Expires May 27, 201
- �: °P `
Bonded through National Notary Ass
(Seal)