HomeMy WebLinkAboutRoof Inspecdtion AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #
1, Larry Neese , licensed as a(n)Contractor*/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 on inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at:
(Job site ad
Based upon that examination I have de mined the installation was done according to the current
edition of the F a Ex ting BuildKg Code Section 611 or the product approval submitted (whichever is
most stri
CCC1330608
ure and Seal License #
STATE OF FLORIDA '
COUNTY C Sf-- Jk i C=
Sworn to and subscribed before me this day of 20_,
by La,rev Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida kel
Signature of Notary:
Notary Pubic State of Fbrids
Commission Number. 4SIU4 (SkmgN Wood
,g w commission GG 241845
En 01/19/2011 Expires 07/25/2022