HomeMy WebLinkAboutRoof Inspection Affidavit "0110912017 16:48 P.0011001
l Planning&Development Services
Building&Code Regulation blvlslon
2300 Virginia Avenue
COUNTY
o p Fort Pierce,Fl.34982
772-462.2165 or 772-462-2172
Fax:772-462-6443
- ROOF INSPECTION AFFIDAVIT
Re: Permit 1101- c 01S
I, AoLeAc LQjrn , 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 L 19114 I did personally inspect the roof deck nailing
(Date)
work at: 335'Sa" i"Y",ulkla, RM. 90, -y*� tuc1e, 0_
(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).
rr C Cg,1330 3?9-
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of_ Olr ayu 201L
by Al%rraiCdp L¢r,& Who Is personally known to me or who has produced
r 'm Identifiratinn,
Notary Public,State of FI
Signature of Notary:
Commission Number: (Seal)En 01/19/2011 C� JQ� 1 0101rf7
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