HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
�4 � e- , SIJ Building&Code Regulation Division
2300 Virginia)Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF IN5P 1QN AfFi �AYil
w r�Fri
Re: Permit x. l✓��`��
i, licensed as a(n) ntracta '" ngineer/Architect
(Please print name&circte lice type) •FS468 Building inspector
*General,$wilding,Residential ar Rooflnp Contractor or any individual cert(ted under 468 F.S,to make such an inspection.
On or about _(Date) ck.I did personally inspect the roof denailing
work at: Lsya �.
(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).
w - �CC !
Signatu d ea License#
STATE OF FLORIDA
COUNTY OF r;
bw hand su§aribedore me this 20)
Wh al kTow-nNme or who has produced
asitia n.
Notary Public,State of Flori
signature of Notary:
Commission Number:
(seat)
En 01/19/2011 20 ,
� U
OFF 122434 ! �:
r