HomeMy WebLinkAboutROOFI INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
1 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
1 Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
1,
�"censecl as a(n)Contractor*/Engineer/Architect
(Please print -na-m-e'-&' circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any i ' ndividual certified under 468 F.S. to make such an inspection.
on or about 'I I J, -7 //'!? , I did pe 'rsonally inspect the roof deck nailing
(D'a t'e)
work at:
(Job sitea
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Sedtion 708 or the product approval submitted (whichever
I t t " ent).
s rig
ao�o�
ig'nature ai�d Seal License #
STATE OF FLORIDA
CO U NTY 0 F --4 ,
SwqM to and subscribed before me this DQ day of 20n,
by who 'm4�emrally- , A�on me or who has produced
as identi �icalon.�',
Notary Public, State Aa,.
Signature of Nota
0 (Seal)
Commission Numb
En
"AL