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, �St,P I FWl14111, licensed as t!:;�)Contract /Engineer/Architect
(Please print name & circle license *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
(Date)
work at: lUUL4( "&j j-1Q L6t
r (Job site address)
Based #on that ex ination have determined the in allation was done according to the current
edition bf the Flor'tla Existin Building Code S n 708 or the product approval submitted (whichever
is most trigent
CCc l'3 2 � 3 ?
ature and S I License #
STATE OF FLORIDA
COUNTY OF
Sworn to a d subscribed' before me this day of t 20j
by c��c tCk•r^*-o Who is personally known to me or who has produced
as identification.
Notary Public, State of FI 'd
Signature of Notary: `;. NIARLINA GCIDINEZ
Commission Number: (Seal) sr MY COMMISSION # GG11423s
EXPIRES June 13, 2021
En