HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITop
Planning & 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 �g3 -7" a ?1
,t! licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
n or about I did personally inspect the roof deck nailing
( at )
(Job site address)
sed upon that examination I have determined the installation was done according to the current
ition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
oast strigent).
a (?9,/-/
Signature and Seal License #
ATE OF FLO I A
)UNTY C
✓orn tQ and subscribed before me this day 2011
Who is personally known o me or who has produced
as identification.
ature of
emission
(Seal)
"YP'•, LASHAHNAINGRAM
Notary Public - State of Florida
U . My Comm. Expires Dec 20, 2018
Commission # FF 177249
Bonded through National Notary Assn,