HomeMy WebLinkAboutRoof Inspection Affidavit Apr 2717 01:27a p.1
- Planning& Development Services
►.J Building&Code Regulation Division
�- 2300 Virginia Avenue
OW— C
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as n)�Contlrac^tor Engineer/Architect
(Please print name&circle license type) "FS46SBut I-Tding Inspector
*General,Buildrng,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection-
On or about `�� �.r / `7 ___, I did personally inspect the roof deck nailing
(Date) + L fi
work at: ,x608 �C�.� lY��� 1N 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 str'gen't�-- -
Sign aty�re a d Seal License#
STATE OF FLORIDA
COUNTY OF ft)A 9-4n n
Sworn to and subscribed before me this day of A iI 20_,
by Whcris personally known to me or who has produced
as ide�irT its son.
Notary Public,State of Florid
Signature of Notary: ,I_,ri/rna
Commission Number: (Seal)
En 01/19/2011
Notary Public State of Floitde
Carmele Franlantoni
My Commission FF 975783
�Q#w ExpUes 05/29/2020