HomeMy WebLinkAboutRoof Inspection Affidavit 0410512017 06:29 (FAR) P.0011001
Planning& Development Services
Building&Code Regulation Division
2300 Virgiriia Avenue
FortPierce,FL 84982
772-462-2165 or 772-462-2172•....
Fax•'77 =462 -43.
ROOF INSPETrON AFF1fDAV1T; �•':'>;xS '
Re: Permit# 52—C l o3 —Q (,.0 .
licensed as.a•(n)C(intraao'r'u/Engineer/Architect `
(Please print name&circle license type) *FS468 Building Inspector
71,
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about, , I did personally inspect the roof deck nailft
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation wa:5-'d6ndoccording to the current
edition of the Florida Existing Building Code Section 611.or the product approval submitted (whichever is
most strigent).
Sigr:atil;re a e License#
• ' STATE OF FL04IjZA
COUNTY OF
Sworn to and s Abed before me this day of \ 201
by r Who is personally known to me or who has produced
as identification. .
Notary Public,State of F1 " t Jeanne K. White
Signature of Notary:_ ,
otary: _ I COMMISSION 0 FF187820
Commission Number: $ l5AEXPIRES;January 7,2019
En 01/19/2011
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