Building Division
75 N 7th Street, P.O. Box 129
Eagle Lake, FL 33839
ROOF AFFIDAVIT PH: (863) 293-4141
In-Progress: Contractors or Owner Builders must schedule an In-Progress inspection for the day the work is
being performed. A complete affidavit must be on the job site at the time of final inspection.
Permit Number: _________________ Job Site Contact Phone Number: _______________________________
Site Address: _____________________________________________________________________________
Contractor, Owner Builder Name: _______________________________ Contractor License #: ____________
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 of four-inch (4”) flashing cement:
_________________________________________________________________________________________
_________________________________________________________________________________________
Nail schedule for eve drip, metal, roof shingles: _________________________________________________
_________________________________________________________________________________________
Roof Vent Types and Quantities: Gas _____ Plumbing _____ Dryer _____ Range _____ Bath _____
Attic Ventilation: On Ridge ____ Off Ridge ____ Date: Work Performed: ______________________
Print: _____________________________________ Signed________________________________
STATE OF FLORIDA COUNTY OF __________________
The foregoing instrument was acknowledged before me by means of ____ physical presence or ___ online
notarization, this _____day of ___________, 20___, by _______________________, who __ is personally known
to me or ___ has produced ___________________________ as identification.
Notary Public Signature ____________________________
(AFFIX NOTARY SEAL)
Print Notary Name ________________________________
My Commission Expires _____________________________
Building Division Page 1 of 1 Rev. 03/09/2022
