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 # n 1 -?-0/
I, COg'" �2t� �l licensed as a( ontrP*FS468
/Engineer/Architect
(Please print name & circle license typ Building Inspector
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*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about �— 7- g , I did personally inspect the roof deck nailing
(Date)
work at:
(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). /
Signature and Seal
STATE OF FLORID n
COUNTY OF r LV C-
P(z �2g�3W lf-?-7V
License #
Swo n to and subscribed before me this �+5 day of 20_R,
by � U '& , 11[ Who i personally mown to me or who has produced
as identification.
Notary Public, State of �l�ida
Signature of Notary:
Commission Number: 6 (Seal)
: '•'_�' J" PERGOLOO
En•'"s My COMMISSION # FF91j4 .5$
EXPIRES-SepWftw 14, 20" .
110T11�-026z eon • .