HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT[VJb -
1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
SCANNED
ROOF INSPECTION AFFIDAVIT By
St. Wriprnnnb
�
Re: Permit # typ �b c5
I, used as a( )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.
On or about q-10— I , I did personally inspect the roof deck nailing;
(Date)
work at:
Based upon that
edition St tFjel t)
is most st x t)
and
STATE OF FLORID —
COUNTY OF
(Job site address)
I have determined the installation was done according to the current
Building Code Section 708 or the product approval submitted (whichever
&ZOSM3�/DZ� i
License #
/o.
Sw rn to and subsc ibed before me thi �d day of 20�
byeX en I�STo n1 GWho is persona nown to or who has produced
as identification.
Notary Public, State of Florida �, CM ,
Signature of Notary: (�iGtl�_ � ��JJ
Commission Number:. G (Seal)
En
,�Y;i�. AUDREYB.HUMPHREY
`g' _ MY COMMISSION R GG 300817
m'. EXPIRES: March 6, 2023
'qsr .,_.. of Wblic Underwribc,
-:ao,.c°• Bondedilvu Notary