HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED
MAY 2 2 2017
Re: Permit# /70.s,- 0 00.
I,L6 t Ad & VC41 , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about_.5' 1 61' Z O 6 7 , I did personally inspect the roof deck nailing
(Date)
work at: 3 (0 90 oL)4- Z's ZTI7?-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition o e lorida Existing Building Code Section 611 or the product approval submitted (whichever is
most s igent).
Sig ure and Seal License#
STATE OF FLORID
COUNTY OF �
Sworn to and subscribd before me this 12 day of JI-7 11 20 /7
by Mt(-,- �C�'U6 Who is person y-caowfl to me o o has produced
asiidentification.
Notary Public,State of Flon a
Signature of Notary:
Commission Number: 3 O INT"%0 .^
(Seal) dQ3BA.Giron
4; Commission#FF99pg30
En 01/19/2011 \off Expires:September 3,2020
°':R; ;•��' Bonded thru Aaron Notary
1 �