HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
t. Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982 C*,
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# �10a'd3dro
I, S'Mjg%in4 � licensed )Contractor*/ ngineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about Z--f Lf , I did personally inspect the roof deck nailing
(Date)
work at: LI(ZD DL00'vt2� -4&45�- P
c
(Job site address)
Based upon that exa ation I have determined the installation was done according to the current
edition of the FI da n Building Code Section 611 or the product approval submitted (whichever is
most strig
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 6-)r•L-0 C:
Sworn to and subscribed before me this \Lk day of F'�r— 20 1
byS�reWho is personally known to me or who has produced
as identification.
Notary Public,State`af,,Florida
Signature of Notary: ,'+q'" '•': DOMNAMARIE GNENS
Commission Number: ��N�GG022pp3
PP, EXPIRES Isomber 16,2020
':op��o,,•'
En 01/19/2011 Bonded Thru Notary Public Undenvdt.,,