HomeMy WebLinkAboutroof inspection affidavit Planning&Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
a R I D Fort pierce, F1L 34982
772-462-2165 or 772-462-7272
Falx:772-462-5443
ROE iNSP,&CT�,�ION_AFFMIT
Re: Permit# 1262 - 6y—to
pt-1 a,U licensed as a( �ontra /Engineer/Architect
(Please print name&circle license typ ) OFS46u ing in
•General,Building,Resfdentlal or Roofing Contractor or any individual certiped under 468 FS,to make such an inspection.
On or about M27/7- . I did personally inspect the roof deck a1�,lina
(Date)
work at: 79Q2, e W &a,a nd
(job site address)
Based upon that examination 1 have determined the installation was done according to the current
edition of the Florida i:xisting Building Code Section 611 or the product approval submitted(whichever is
most nt).
Slgn' an I License#
STATE OF FLORID r
COUNTY OF 1.
SwW to and subscribed before me this raft 20_0
Wh ally kno n to me or who has produced
8
Notary Public,State of Florida ,�����a+
Signature of Notary: �., ,,,,•;.
Commission Number: (Seal` ',00h11ss1gj'^..ro
En 01/19/2011 • in': sFF 12743