HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
Building & Code Regulation Division
COUNTY� K
2300 Virginia Avenue
Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEI�'�-D AUG 1 71917
ROOF INSPECTION AFFIDAVIT
Re: Permit#
cS �l_C , 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 about 6&- - 19 � 1 -:k- , I did personally inspect the roof deck nailing
(Date)/� D
work at: (PO &oL� Avc PSL L 'PL
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
,,)— �;C= �'--- C-c c
Signature and Seal License #
STATE OF FLORIDA; 11 ,.W,'
COUNTY OF SQk4 UL
Sworn to and subscribed before me this da of C14 20_L)
by �E�UI� �;((J <-- W. ho is sonall know m or who has produced
as identification.
Notary Public,State of Florida
� Pv ooA MARIA MA,1AN0
Signature of Notary: ' �"""' °`r `` My COMMISSION t FF 161432
Commission Number: **111) EXPIRES.Apti14,2019
. � galled ihro Budget Notary$ansa
En 01/19/2011 q>fOFF�