HomeMy WebLinkAboutRoof Inspection Affidavit _ _ Planning& Development Services
;� ' �= v Building&Code Regulation Division
® 2300 Virginia Avenue
o o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
=,RECEIVEDROOF INSPECTION AFFIDAVIT
Re: Permit# oO lq
I, ➢' i CA M cz l OYl licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle licensetype) *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 Id--'/,// f , I did personally inspect the roof deck nailing
(Date)
work at: s OU (--AM¢,-A- u -!Y-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
w
SI naturean Seal License#
STATE OF FLORIDA
COUNTY OF SV" G,
Swor to and subscribed before me this day of 19eC 20f�
by N&A. AtA Z Who is personally knoow„n to me or who has produced
as identificatio�—
Notary Public,State of F,=,�
Signature of Notary:
Commission Number: 7 (Seal)
En 01/19/2011
+0 o Notary Public state of Florida
:°` N victor G Alterizio
My Commission GG 274292
� Ex� piresII/o5I2022
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