HomeMy WebLinkAboutRoof Inspection Affidavit Plannina at Develoement fiamcoe
liluilding&Code Regulation Division
COU NT2300 Virginia Avenue
Fort Pierce, FL 34982
T72.462-2165 or 772-462-2172
Fax:772-462-6443
Re: Permit# J_.71 g —0/j7
4E At`1 a,0 licensed as a( ontract /Engineer/Architect
(please print name&circle license typ ) •FS468 u Ing inspector
* enerot oulldlna,kesldrndal or RwPno Contractor or ony individuof certwed under W AS.to moke such on Insptttlon.
On or about , g bfi/I i did personally inspect the roof deck-naiift
(Date)
work at:_.'der
(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 511 or the product approval submitted(whichever is
7
most nt).
CC t
w
Signu an i License#
STATE OF FLORID �
COUNTY OF W �
S ' to and subscribed before t»e this � r. iQ1
� R.
tWh ally kno n to the or who has produced
n.
Notary public,State of Florida
Signature of Nota
Commission Number. 12
Se •�pt�htii,s�0": �;
to 02/19/2011 • m. _
T . ir,w u•.
x�i�: �Nfifi 1�2d94
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RECEIVED OCT 1-6 2017