HomeMy WebLinkAboutRoof insp aff Planning& Development Services
?' I� Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT
JAN 19 2017
Re: Permit# 70 0
I, 4licensed 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 an inspection.
On or about ! -'t �l� , 1 did personally inspect the roof deck nailing
(Date)
work at: V:�-) U (l A l� r► �( ,��'
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Fjori—o Existing Building Code Section 611 or the product approval submitted (whichever is
most strig
I
6C ,ZS, -73 lei
Signature a eal License#
STATE OF FLORIDA
COUNTY OF c
S�and ribed before me this day of 20/ ,
b Who is personall n to a or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: eal)
En 01/19/2011
;J5�;".Psk, AUDREY B.HUMPHREY
=.: :.: MY COMMISSION#FF 174772
°. :o EXPIRES:March 6,2019
Bonded Thru Notary Public Underwriters
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