Form Center • Temple Terrace, FL • CivicEngage

Roof Affidavit

Nail Schedule of Purling and/or Re-nailing of Decking*
Amount of Framing/Sheathing Repair*
Specifications & Type of Underlayment Overlap and Roof Pitch*
Sealed Edges, Objects and Valleys, Valley Material Type with a Minimum Four Inch (4") Flashing Cement*
Nail Schedule for Eve Drip, Metal, Roof Shingles*
Roof Vent Types & Quantities:
Gas
Plumbing
Dryer
Range
Bath
Attic Ventilation Type*
1. On Ridge
2. Off Ridge
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The Contractor/Owner-Builder named above accepts full responsibility, and indemnifies and holds harmless the City of Temple Terrace for any liability that arises due to having missed the In-Progress Inspection for the above named permit and certifies that all work performed complies with the Florida Building Code Sixth Edition (2017).
License Holder Signature
Date
Date
State of_____________
County of____________
The foregoing instrument was sworn to (or affirmed), subscribed, and acknowledged before me by means of ☐ physical presence or ☐ online notarization, this ____ day of __________, 20__ , by ___________________ (name of person making statement), who is personally known to me or has produced ___________________(type of identification) as identification. Signature of Notary Public
Signature of Notary
____________________________________________
Name of Notary (Printed)
____________________________________________
(SEAL)

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