HomeMy WebLinkAboutRoof Inspection Affidavit i1
I
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
A. 4982
• r x� ���� ��_. Fort Pierce, 3 F
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit it ,, fs-q.
•16 licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circl l(cense type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468F.5.to make such an inspection.
On or about 17 9 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
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
most strigent).
7-3
Sig ature and Seal R License#
STATE OF FLORIDA /j�i�,�'r„
COUNTY OF l
Sworn to and supscri ed before me this day of 5I �1 20-
S-by . Who is personally known to me or who has produced
as idents ication.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
v
En 01/19/2011
ROY Fp AMPTON
My C01,4MlSSlON k FF 188186
t GXPntE&3anunry 08.2019
RECEIVED SEP 08 2015