HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
MM Fart Pierce,Et.34382
772,462-2165 or 772-462-2172
Fax-772-462-6443
ROOF i SPgQI0NAFFID.�VIT
Re. Permit#1�j �ty reg
licensed as a �/Engineer/Architect
1pi+ease print narYre&dreie irt; nse type) ''F5468 Building inspector
*Ue'neral,Building,Reside?nt,101 7f Rooffaq Convoctix or onv individuol cet0erl it+rrtef 468 F.S.to rtrok+t sorh on Insnectocxr.
On or about _ _ !drd personally inspect the roof clerk rrailittg
(Date)
work at:
(job site.address)
Based upon that examination l have determined the installation was done according to the turrer)t
edition of the Florida Existing Building Code Section 611 or,the product approval stsbrnitted(whithever is
most strigent).
5ignatur + eal License#
STATE OF FLORIDA ,
COUNTY Or
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Notary Public,Stag of Florida
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