HomeMy WebLinkAboutRoof Affidavit-- _----- - -=---- -. Manning & Development Services
Lc� -Lj
L_j a -;:-� Building & Code Regulation Division
0-D Ii-\" -�. _ 2300 iarginia Avenue
�`• 1= , 1 12 Fort Pierce, FE 34982
— _ — — - _-- 772-462-2365 or 772-462-2172
— --- — --- Fait: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# SLC cz003 — C)SI g
77Y.621 -:e licensed as a(n)Contractor=/Engineer/Architect
(Please print name is circfe 11cense type) TFS468 Building Inspector
'General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 3 '�-( I ao I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current 9 Yg
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
gnature and seal License #
STATE OF FLORIDA
COUNTY OF
Swom to and subscribed efore me this I day of 20 Q
by �r4 kiZ Who (s personally known to me or who has produced
Notary Public, State of
Signature of Notary:_
Commission Nt7tTb&—,
En 01/19/2011
(Seal)
SCOTT L DOBBS
FF
° LState of Florida -Notary Public
Commission s GG 258366
My Commission Expires
September 13, 2022