HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FIL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
'ROOF INSPECTION AFFIDAVIT
Re: Permit# _711-OL,37
CA b i—, licensed asatr��ontra�cto */Engineer/Architect
(Please priht name&circle license type) 'IFS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 46B F.S.to make such an inspection.
On or about I / If jj� I did personally inspect the roof deck nailing
(Dat'e)
work at:. 7 co
(Job site address)
Based upon that examination I have determined the installation was doneaccording to the current
edition of the Florida Existing Building Code Section 611 orthe product approval submitted (whichever is
most strigent)
(f-C
Signature and Sea] License#
STATE OF FLORIQA
COUNTY-OF 3�.DA C�e,
Swen)to anib e fore me this
-id of G.Y--') 20&
94�
by,L-�&Yl ) fltDkTI-1-4 Who'j---e--;-rs-0nalIy known-tame or who has produced
f ic I
as id n ic on.
7-
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'77
Notary Public,State of Florida
Signature of Notary:
(Seal) je,
Commission Number:
En 01/19/2011 #FF 122434
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