Growth and Resource Management
Building and Code Administration
123 W. Indiana Ave., DeLand, FL. 32720
(386) 822-5739
Email: building@volusia.org
ROOF DECK NAILING, UNDERLAYMENT AND FLASHING ROOF AFFIDAVIT
Permit Number: ___________________________________________
Affidavit from contractors will only be accepted when an in progress inspection has been scheduled the prior
working day.
I,
_______________________________________________________,
____________________________________________
licensed as a Contractor*/ Engineer/ Archit
ect.
(Print Name) (Circle License Type)
License #: *Approved Contractor Types: General, Building, Residential or Roofing
Roof Deck Nailing
On or about (Date) __________________________________ _______________________
__________________________________________________________________
(Time) , I did personally inspect
the Roof Deck Nailing work at:
(Address)
Roof Underlayment & Flashing
On or about (Date) __________________________________ _______________________
________________________________________________________
(Time) , I did personally inspect
the Roof Underlayment & Flashing work at:
(Address)
Based upon that examination I have determined the installation was done according to the currently adopted Florida
Existing Building Code.
__________
___________________________________________________
Signature
STATE
OF FLORIDA, COUNTY OF VOLUSIA
The foregoing instrument was acknowledged before me this ______ day of _________________ 20____,
by
_________________________________________________________ (Full name of person acknowledging.)
Personally known:_________ ___________________________________
Produced Identification:__________ Sign
ature of Notary Public
Type o
f Identification Produced:____________
(SEAL
)
