HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
a Fart Pierce, Fl.34952
772-462-2365 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AEFIDAVIT ✓��/%
Re: Permit# ma (��
11 i licensed as a(n)Contractor*/Engineer/Architect
(Please print name& ircle license type) *FS468 wilding Inspector
*'t enrol,Sallding,Resident 11,or Roofing Contractor or any individual certified under 46&1=
S.to make such anInspectlon.
On or about ' 1 did personally inspect the roof deck nailing
(Date}
work at: �
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edit-onlorida Existing Building Code Section 611 or the product approval submitted(whichever is
ost strige
Signature an Seal License#
STATE OF FIL R{
COUNTY CFF
sworn to a,d ubscribed Le46reme this day of 20„5
by '1( Who is personally known to n e or who has produced
as identification-
' �
Notary Public,State of F da
Signature of Notary: i011
Commission Number: �. _ (Seal)
En of/3,9/2011
L
No ary Public&We of Florida
. 4 � Ka91ey i�e8stna
% My CornariSslan FF 289692
Expires 05120/2019