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
M
Re: Permit # �q �- (� I p SCANNED
BY
I, tractor*/ ngineer/ArchitectCoSt. LUCI@ Countyicensed as a(
(Please print name circle license type *FS468 Building Inspector
*General, Building, Residential or Roo ng Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 3 �� ��� I did personally inspect the roof deck nailing
( te)
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 It
STATE OF FLOR 'A
COUNTY OF
Swor to and subs ribed before me this � day of ll/I WVn 204
by Who is per Ily known to me or who has produced
/� as identification.
Notary Pub' f Flon a�
Signature o o cry:
Commission Number: (Seal)
En
KAREN S. NIELSEN
;e °'�; State of Florida -Notary Public
± Commission # GG 207484
�a. My Commission Expires
June 12, 2022