After The Fact Roof Certification Inspection Affidavit Form - Indian River County printable pdf download

After The Fact Roof Certification Inspection Affidavit Form - Indian River County

INDIAN RIVER COUNTY/CITY OF VERO BEACH

BUILDING DIVISION

1801 27

Street, Vero Beach, FL 32960 772 226-1260

After the Fact Roof Certification Inspection Affidavit

(Approval to use this form is at the discretion of the Building Official)

Permit #: _________________ Job Site Address: ______________________________

I _______________________________, licensed as:

Current/Active Florida Engineer

(Please print name and check the box next to the License Type)

Current/

Active Florida Architect

License #: ________________________________

On or about ________________________________, did personally inspect the following

(Date & time)

items on this roof for compliance with the 5

Edition Florida Building Code.

The roof deck fastening

I hereby certify the roof deck fastening is in accordance with: (check one)

Edition Florida Building Code Existing Table 708.7.1.2

Roof covering Miami Dade N.O.A

Roof covering Florida Product Approval

The underlayment

I hereby certify the underlayment is installed in accordance with: (check one)

Edition Florida Building Code Existing section 708.7.2

Underlayment Miami Dade N.O.A

Underlayment Florida Product Approval

The flashing, roof covering and final installation

I hereby certify the flashing, roof covering, and final are installed in accordance with:

(check one)

Roof covering Miami Dade N.O.A

Roof covering Florida Product Approval

Signed, sealed and delivered this ______ day of __________________, 20___.

_______________________________________

Architect/Engineer

Seal

After The Fact Roof Certification Inspection Affidavit Form - Indian River County