HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITQ.-
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
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Re: Permit#
I, # licensed a a(n)Contractor* ngineer/Architect CO%/11
me (Please print nacircle license typ *FS468 Building Inspector
* General, Building, Residenti Ior Roof g Contractor
� or any individual certified under 458 F.S. to make such an inspection.
On or about t� %� �� I Itlid personally inspect the roof deck nailing
(D e)
work at:
(Job sitd 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
STATE OF FLORIDA
COUNTY OF 5h Ukad�
C-e�,C e>9
License #
Sworn to and subscribed before me this b day of T2Ss 20_'
by- /n/ Who is personally known to me or who has produced
F/ D as identification.
Notary Public, State of Flori
Signature of Notary:y
Commission Number: �� 6 (r A-% 0M (Segal)
En !
ELLEN
hate of Florida•Nota
'Commission N GG ;
My Commi. i -