HomeMy WebLinkAboutInspection Docsit
II
it
Planning & Development services
Building & Code Regulation plyision
2300 Virginia Avenue
Fort Pierce, FL 34982 li
772-462-2165 or 772-462-2172"
Fax: 772-462-6443 ji
ROOF INSPECTION AFFIDAVIT
Re: Permit#171P,I)W7
1, WAt4V licensed as Co ac,)/
�Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
iI
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to
On or about /0 —/ 'F-1-7 , I did personally inspect the roof di
(Date)
work at:
(Job site address)
Q12�A/SE:i6J
Based upon that examination I have determined the installation was done
edition of the Florida Existing Building Code Section 611 or the product app
most strigent).
C C /3c27K,
Signature and Sea] License #-11
STATE OF FLORID 4,k�\
COUNTY OF
—L�c,
SW to and subscrib d bef re ne thi day of OCA-20t_D
by ho' nown to ho has Droduc
-- -T
,,::j I -------- * --------------------
Notary Public, State of Florida
Signature of Notary:_
r:
such an inspection.
ling to the current
submitted (whichever is
Commission Numbe (Seal) I
En 01/19/2011
ANGELA M ;HUFF
�pY PL I of Florida
Notary PUbliC
7
Kmy Commission # F,j
34y 27,2 30
019
Comm. Expire a.
--� National otaty sn.
Bonded through