HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
iCOUNT
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# O Q
I, &��!,r� rBGv� , 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 an inspection.
On or abouto D I did personally inspect the roof deck nailing
(D e)
work at: 11,115V ..-/
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing B . ding Code Section 611 or the product approval submitted (whichever is
most st ' e
PlSSix'00/32 el, 4P/-5—
Signature
gnature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this_�day of 2 0
J W 0 m
by IAJ 4ALDA &`A-M Who is personal) now�toe or who has produced
as identification. .
=pa`s a
Notary Public,State of Florida EM Zw Z
Signature of Notary: /� 0a,_
Commission Number: (Se ) Q. ux' "
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En 01/19/2011 ;abo�
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