HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning & Development Services
Building&Code Regulation Division
2300 Virginia Avenue
V Fort Pierce, FL 34982
JF I772-462-2165 or 772-462-2172
Fax: 772-462-6443 EST. Lucie
CEIVED
T 14 '29M
ROOF INSPECTION AFFIDAVIT
County,Permitting
Re: Permit# 0G 3'i
I,Rr J adz HOlcn-p- 1 license nlContr /Engineer/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 6 1 did personally inspect the roof deck nailing
(Date) 1 D
work at:— C-.,Co
(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).
C-cc133�6�3
Signat an 6 1 License#
STATE OF FLORIDA
COUNTYOFcS-T je-
Sworn jRand subscribed efore me this day of i!5 2A
by G- n Who is personally known to me or who has produced
as identification.
Notary Public,State of FI ri
Signature of Notary:
Commission Number: a 7 (Seal)
En 01/19/2011
Public State of Fl�nda
votary A11erizio
G G 274292
MY commission G
,.�. ,'p Expires 1110512022
r L d�