HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
23W Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT SCANNED
BY
9 St. Lucie Comb/
Re: Permit #
I, Ifs licensed as a Contracto */Engineer/Architect
(Please print name &circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468F.S to make such an inspection.
Dn or about I did personally inspect the roof deck nailing
(Date) n 7j�Q
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
C'Cc133J4�-
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ��Ck1\,i�i �1
Swjarn to an_d subscribed before me this 2�y day of 20,R
bYZ J), S Ui fl m S Who is personally known tome or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: - _6,4o 0 (Seal)
En
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