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
=RECEIVED
Re: Permit # 2- O 2,5
I nsed as a(n Contracto /Engineer/Architect
(Please p (nt name & c' cle 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 abou's�-" `Z"a<f, I did personally inspect the roof deck nailing
(Date)
work at: '2� `'l -a—cr Zs "�
(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 mos . strigent).
Signature and Seal
STATE OF FLOR D
COUNTY OF
ULL—
(2C-r, �� 2.
License #
SwRrq to and sub-soclibed before me this c O day of 20-0
by Who is personally known to me or who has produced
as identificati Ln
Nota blic St""" KAREN S. NIELSEN
Signature of Notary: 1A Commission A FF 115637
Commission Number: My Commission Expires
June 12, 2018
En