HomeMy WebLinkAboutroof inspection affidavit RPR-03-2017 13:12 From: To:4626443 Pase:111
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COONTY
P 9 1 a Fort Pierce, FL 34982
772-462-2165 or 772=462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#_ D36
I, C1 PIstonhe9- A . Lhru licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle lice se type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or anyindlvidual certified vnder466 FS.to make such an inspection.
On or about 1. 3.(1 1'.00'pM, I did personally inspect the roof deck nailing
(Date) --
work at: 6201 kmwood Road
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of t Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most stri nt .
___ GCC 05rA9�3
igna a an al License#
STATE OF FLORIDA
COUNTYOF �f Ll,(41C
Sworn to and subscribed before me this 3n0f_ day of__!?I" 20/7,
by , X-P . Who is personally known of me or who has produced
/� as identification.
Notary Public,Stateof F rida
Signature of Notary, [���A'21M LL -9
Commission Number: !rr- 9987f:� (Seal)
En 01/19/2011 V1CTOR1ADtA1fN�M�K�EN
t n�� s1oN M Asa ns
2029
tXPI�!luty 21.