HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning be Development Services
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Building & Code Regulation Division
2300 Virginia Avenue
L4
Fort Pierce, FL-34982
772-4624165 or 772-462-2172
Fax: 772=46.2-6443
R®®F INSPECTION AFFIDAVIT
Re: Permit # I Mb ` d
LO
I, � l licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building, nspector
*General, Building, Residential or Roofing Contractor or any individual certifjed under 468 F.S. to make such an inspection.
On or about _ '7I 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 License #
STATE OF FLO 1
COUNTY OF 1t�U___
oil
Sworrs4o and subscribed before m is day of ZZ 20
by ,�� 3� Who is personally known to me or who has produced
L54 --- as identification.
Notary Public, State of orida
Signature.ofNotary: G.
Commission Number: c a (Seal)
En
Notary Publio State of F106 e
Amanda P Sanderson.
• My coinmission GG V IM
Expires 04l25/2022