HomeMy WebLinkAboutROOF - FIBERGLASS SHINGLE Planning&Development Services
' Building&Code Regulation Division
2304 Virginia Avenue
Fort Pierce,FL 34982
772-462-2 .65 or 772-462-2272
Fax:772-462-6443
I �
ROOF INSPECTION AFFIDAVIT
Re: Permit#x}70 r
I, r licensed as a(n)Contractor*/Engineer/Architect
( lease print name&circle license type) *FS468 Building Inspector
*General,Building,Resfden a!orfRo'ofrng Contractor ny individual certified under 468 F.S.to make such an inspection.
On or about �� ��� I did personally inspect the roof deck nailing
(Date)
work at: l if v o /, �f �.;
(Job site address)
Based upon that examination i have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
most strige t).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Mem Pec,.0-i l ..
Sworn to and subscribed before me this 9 day of VACWQ-" 20E
by `?? ,ikiS dkc,K;—' . Who is personally known to me or who has produced
j}t t v et C CZLA.Sas identi'cation.
Notary Public,State of Florida
Signature of Notary:
Commission Number: F t (Seal)
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�SGUARIN
En 01/19/2011 �'°a��.•'oaSiON E4'
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