HomeMy WebLinkAboutrood affidivat met Services
Planning&Code Reg""'
tlon Division
Building
2300 Virginia AVenue
• Fort Plerce, FL 34g82
772-462-2165 or 772-462172
-2
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1-1 l a LAc5 /Engineer/Architect
licensed as a(n) ontr In
I - *FS468 Building
(Please print name&circle license type)
ro make such an inspection•
*General,Building,Resldentfal or Roofing Contractor or onylndlvldual certified under 468 F.5• Wallin
I did personally inspect the roof deck
On or about i i'i i1
(Date)
l 7c
work at: S i (Job site address) to the current
according fitted (whichever is
Building Code Section 611 or the product approval subm
Based upon that examination I have determined the installation was one
edition of the Florida Existing Bull g
ent).
most strig
License#
Signature and Seal
STATE OF FLO
COUNTY OF n��o✓hr Zpj
day of produced
5wor to a d su scribed before me this o is personally known to me or who has
by as identification.
otary Public,State off ( ,'••�.p. GISSIACMARTINEZ
_., Notary Public-State of Florida
ure of Notary:
a'' Commission a GG 144896
on Number: c y My Comm.ExOresOct2a.202t
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 11 l- ' 0043
licensed as a(n Contractor /Engineer/Architect
I, R�cNurd w TrtChU1C ector
(Please print name&circle license type) *FS46S g nsp
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about is loci I I-7 I did personally inspect the roof deck nailing
(Date)
work at: i0 1 SE P(gcticl (-} —
(Job site address)
Based upon that examination I have determined the installation was done according the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 3 C/ 2 ,
Swo to and subscrib d before me thiehoi,
day of IMP�nil�'L'j� 20
personally known to me or who has produced
as identification.
Notary Public,State ofFada
Signature of Notary: : YP GISSIA C MARTINEZ
Commission Number: Notary Public-State o`=!o a
commission:G 33�
En01/19/2011 �R My Comm.Expires Cct24?1�''