HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & 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 UClprhilinih,
Re: Permit
I, hWOM licensed as a(n)Contractor*/Enginee r/Architect
(PI se 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 l/ eIV / did personally inspect the roof deck nailing
(Date) Of
r
work at: �%ox
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition o"e Florida Exist' Building Code Section 708 or the product approval submitted (whichever
is most/Weent). /7
&O.em I em13z/
Seal License #
STATE OF FLO }_ram.
COUNTYOF�d (� ///%/�j �j/o�
Swor o and s�} bscr d before me this �_ day of � " M41 20
by i" t�l • "�Or'•f . W e+ua to me or who has produced
as identifi t a
Notary Public, State rida \
Signature of Notary:
Commission Number: (Seal)
En " MY COMMISSION A GCOWSiB
. �' EXPIRES April 12, 2021