HomeMy WebLinkAboutRoof inspection AffidavitPlanning & 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
G4,5
Re: Permit# 1901 - 6"-f-7 (c>
1, -7:s- licensed as a (n) Contra ctor*/En ginee r/Arch itect
(Please print name & circle license iype) *F5468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under468F.S. to make such an inspection.
On or about ') I I i t !k/ , I did personally inspect the roof deck nailing
(Date)
work at: I25 Sr-- S cc C -L.- V-4
(Job site address)
Based upon that examination I have determined the installation was done according to the current 1
edition of the Florida Existing Building Code Section 611 or the product approval submitted {whichever) is
I
most strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF St(A-L<-
Swort) ta'and subc 'b e ore me
11 this
��g �
by asi�lckp X
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En 01119/2011
Z -d 9909CVCZLL
License #
-i':=> 201&
me or who has produced
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