HomeMy WebLinkAboutroof inspection affidavit Planning&Development Services
Building&Code Regulation Division
41 N 2300 Virginia Avenue
Fort Pierce, FL 34982
M 772-462-2163 or 772-462-2172
OE -,
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, t� licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle lic n type) *F5468 Building Inspector
*Genera(,Building,Residential or Roofing tontroctor or any individual certified under 40F.5.to make such an inspection_
On or about � I did personally inspect the roof deck nailing
(Date) a
work at: � �� ` t� J
(Job site address)
eft 77
Based upon that examination I have determined the installation was done according to the-current,—
edition
he_current —edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
most strigent). ,,
�a,,,
ignature and Sea) License#
STATE OF FLORIDA
COUNTY OF
Swom to a d u scribe efore me this— T day of �rr 20 lF,
by A626 . Who is personally known to me or who has produced
of
as identifi ion.
Notary Public,State of n
ignature of Notary:
Commission Number. (Seal)
En 01/19/2011
ROY D FRAMPTON
notary Public-State of Florida
commission#FF188186
My Conunfssion Expires Jan.8.2019
6 abed 909t,9t9ZLL sdde:) W 1,6:60 L SF4,0