HomeMy WebLinkAboutInspection Docs _ Planning& Development Services
C 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 =RECEIVED
Re: Permit# fr h 10 ®(o 1.
I,�isyc+j�2i?` !licensed as a(n ontractor* ngineer/Architect
(Please print name&circle license type *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about IP 5-P /,6� , I did personally inspect the roof deck nailing
(Date)
work at: VT?-- F P rr�r�
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the r' a Exis ' g Building Code Section 708 or the product approval submitted (whichever
is most ri nt)
/1C)2'3n
Sign re and Sear' License#
11
STATE OF FLO1Y ,� ( —
COUNTY OF cz
Swo to and s t�scrib d before me this day __0 20�,
by R . Who is per ally known to me or who has produced
as identification.
No atu State of Florida
Sign
Commission Number: (Seal)
En
KAREN S. NIELSEN
=o %state of Florida-Notary Public
®Q` Commission #GG 207484
My Commission Expires
June 12, 2022