HomeMy WebLinkAboutRoof Inspection Affidavit 03/15/17 09:OOAM capps 7725464606 Pa e 1
Planning&Development Sen iew
Building&Code Regulation Division
�s 2380 Virginia Avenue
s
A Fort Plerce,Fl.34982
7724162-2155 or 772-452-2172
'J Faw772-462-644-37"—_:..�
ROOF,INSPEC ION AFFIbAVIT
Ir
Re; Permit# rt W ,
'3o/
1, licensed as e(n)ContractairO/Engineer/Architect
(Please print name&circle sic ss type) *F5468 Building Inspector
*fastietvi,&ir7din2 Rtaidcntlai or Roofttap Canttaaar or ane individuol etrt ed vAdar
468F&to make such on iaWctian.
9
On or about l did personally inspect the roof neck nailing
(Date)
work at.
(lob site address) —
Based upon that examination I have determined the installation was done according to the ctmrent
edition of the Florida Existing Building Code Section 631 or the product approval submltted(whichever Is
most strigent).
3
/ilgnature and Se License#
STATE OF FLORIDA
COUNTY OF
sworn to a r before Mathis day of 20 / 7
Who is Personally known to me or who,has produced
as Identiflcmion.
Notary Public,State of Florida
Signature of Notary:
C,sammission Number. (seal)
En¢iJ19jT411 i
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