HomeMy WebLinkAboutRoof inspection affPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL. 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#,iOO�
v •3itAi,n4,6 licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *Fs46s Building Inspector
*General, Building, Residendal or Roofing Contractor a any 1ndN1dual certified under 468 f.S to make such an lnspection-
on or about --7' 9 y' . I did personally inspect the roof deck nailin
(Date) pp /j c
workat• 7'10-L D-ter erk
(job site address)
Based upon that examination I have determined the installation was done according to the current
I b i d hichever
edition of the Florida Existing Building Code Section 7011 or the product approva 161 sutte (w
is most
and Seal
CCC 132,f P7
License #
STATE OF FLORIDA
COUNTY OF .51 L Lk,'-
Sworn to and suuibed before me this r "day2G�
by 6v, n Ir+�+^ tr . Who ovally known-t6 or who has produced
as identifica t
Notary Public, State of Florida ^ . !
Signature of Notary: 1�---�
commission Humber. AWAI 1w. (Seal)
En
j h Notary Public State of Florida
Jeffery J Amold
MY CCMrd M HH D11872
b ires tt13117=4
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