HomeMy WebLinkAboutRoof Inspection Affidavit Sep. 28. 2017 9:37AM Cardinal Roofing PSL No. 1197 P. 1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
i Fart Pierce, FL 34982•
772.462-2165 or 772-462-2172
Pax. 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Ina L/
I, licensed as a(n)Contractor*/Engineer/Architect ._
.(elease.print carne&circla(".ease type)- _____ 4TS46&8,u!ldinginspertor
*'metal,Building,Residential orRooJ4eg Contractor or any individual certified under 468 F.S.to make such an inspection.
on or about I did personally inspect the roof deck nailing
(D4e) r
work at- � -�i�tJY /r 1gYT n-W
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition QftliS Florida Existin1 Building Code Section 611 or the product approval submitted(whichever is
Signature andal License#
STATE OF FLORIi�i
COUNTYOF
f .� �^ •
Swe to n subscr bed before me this day of
b, Who is personally known to me or who has produced
as identification.
Notary Public,State of fiorida ( � rr, Nota P011110 5tett of Florida
Signature of Notary. fly � N` Jennifer Davis
Commission Number- (Seal) - c My CommEs4ion FF 968029
pf�o Expires OV2912020
En 01/19/2011