HomeMy WebLinkAboutInspection DocRe: Permit # -�Lf
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
licensed as a( )Contractor* Engineer/Architect
(Please print name & circle license type) *FS4 nspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 1 did personally inspect the roof deck nailing
(Date)
work at: s] c1 _ - Lr `��- -Y \J' fc fTt-(--_
(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 strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF
o� t
License #
Sworn to and subscribed before me this - 31— day of 201_�,
by 7 j ( -,A \ (I (f � . Who is personally known to me or who has produced
as identification.
Notary Public, State of
Signature of Notary:
Commission Numbe?
En 01/19/2011
SALLY FORTES
Commission 0 GG 47625
Ry Commission Expires
IS��Svember 15, 2020