HomeMy WebLinkAboutroof inspection affidavit M Planning&Development Services
d. Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
. R I D A Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-5443
SQQF INSPECTIQN "DAVIT
Cry tis
Re: Permit#
licensed as a( ntract */Engineer/Architect
(Please print name&circle license t pe) "FS468 Building Inspector
*Genelol,Building,Residential or Roofing Contractor or any Individual certified under 468 F-S,to make such an Inspection,
on or about 12 1 did personally Inspect the roof deck-nailing
I (Date) �j
work at: / GlL'G C
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Cade Section 611 or the product approval submitted (whichever is
most•strigent).
.. G m
Signatu al License#
STATE OF FLORIDA
COUNTY OF 5- jru�c�e<
Swo tq and subscribed before me this_ � �� 20
by a n . Wh personally known to me or who has produced
as Identl lea on.
Notary Public,State of Florida
Signature of Notary: �`Ur41r°01°''jr/;
Commission Number: f 24 2 �� �••••.,•viy:%;;
(Seal •4UM1SSIdN•.• "r'r
En 01/19/2011 * : � �aY t2,2p�:• f
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,�3a: pFF 122434
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