HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
�; , Building&Code Regulation Division
� � UNTY 2300 Virginia Avenue -
Fort Pierce,FL,34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
HOOF INSP ,; ION 6FE12AVII SECEIVED
170 FEB !7 2017
�90
Re: Permit# - `�J?W 1701 --.10090
licensed as a(n)Contractor"/Engineer/Architert
(Please print name&circle license pe) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certiflied under 468 F.S.to make such an Inspection.
On or about a A f I I did personally inspect the roof deck nailin
(mate)
work at: Sir0 W� i d✓'W '
(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).
Signs re an9 al License#
i
STATE OF FLORID J
COUNTY OF LarCrG C*A)'
Sworn and subscrib bef re me this day of 20�
by !ad who has produced
as Identification.
Notary PuWIc,State of Florida
Signature of Notary:
Commission Number: (seal)
En 01/19/2011 ���«tiuiUull„/
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