HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
ISM LiUG4E&-"-Mk" Building&Code Regulation Division
COUNTY 1 2300 Virginia Avenue
Fort Pierce, FL 34982
FLO RI DA —Ww"
-IM11 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 7
licensed asa(�=Contractorl 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 on inspection.
On or about 5-3 - 1-7 1 did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)"
Based upon that examination I have determined the installation was done according to the current
edition of the ri a ' in Building Code Section 611 or the product approval submitted (whichever is
most st ' e
Signature and Seal License#
STATE OF FLORIDA r
COUNTY OF
SvvqK�to and sub ri ed before me this day 20L?
M. 6ftVlWho is personal has produced
as identification.
Notary Public,State of Florida
Signature of Notary:_ 44%'eal)
Commission Number:
En 01/19/2011
AU1)RE-'Y B.HUMPHREY
49 My G011MISS!01J#FF 174,772
EXP4,q:March 6,2019
!c Underwriters
Bonded Thri Nctaiy Pub 1