HomeMy WebLinkAboutRoof Inspection Affidavit a Planning&Development Services
a
} Building&:Code Regulation Divisipn
2306Unrginia Avenue: _
Fdrt Pierce,FLAOS
772`-462, 2166 or 7T2=462 2172'
- _. . . Fax:;�7T2=462-6443 ,
- . '
ROOF INSPECTION AFFIDAVIT:
Re: Permit 9 SL C
baJC,raSl licensed as a ontractor En sneer/Architect;-
-:(Please print name&:,diefe license type *FS,40 Buildpri' inspector
General,.Building,kesidentwhor Roo Ing Contractororany individualcertif,urides 4b8 F_ ,to mnkesuch.on lnspeciloo
On or'aboutt_ / l/ - I'did perscrially inspect the roof deck nailine
(bate)
-
uvork at:;�
2
(Jo*site adddress)
Based upon that.exami'natlon.'Ihave determined'Ahe installation wasAdne.according to tho,'current .
edition of the Florida Existing Building:Code 8ectron IN orthe product:approval submitted(whichever°
is;most stril entj'.
Signa ut e:'nd Seat' License
STATE QF FLORIDA
COUNTY Off,_Cr,:
Sworn to:and subscr bed before me this, _ --I! . day of c.j:E fJ-M< 20
by'A S 'hock- S VifhQ y" own to a or who hasproduced
_ _ . . o known
- aslidentificati
Notary Public,State of Florida
Signature of Notary:
Commission Number. (Seal);
En: Notary AuOGcEOr3
arida
James•E W
JMY