HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT_z
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 # 0"S—QVS�
I, licensed as a( )Contractor*/E ineer/Architect
(Please print nam & circle license type *FS468 Building Inspector
SCANNED
BY
Sit, Linea Couni v
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about a I did personally inspect the roof deck nailing
I ( te)
! work at:
(Job site address)
I
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 #
I �
STATE OF FLORIDA
COUNTY OF
Sw r to and subs ibed before me this �_ day of � 20
y Who is persona mown to me or who has produced
as identification.
I
Notary Public, state of Florida
Signature of Notary:
Commission Number: (Seal)
�:n: e¢' •. AUDREY B. HUMPHREY
��• � ; MY COMMISSION # FF 174772
'"� EXPIRES: March 6, 2019
`•',;� • o?� gollded Thru Notary PubGe Umteiwriters
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