HomeMy WebLinkAboutCasey - AffidavitRe: Permit #
Planning & 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
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 Fa Ex ting BuildKg Code Section 611 or the product approval submitted (whichever is
most striae
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