HomeMy WebLinkAboutRoof inspection aff 0210112017 09:24 P.0011001
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 FEB ® 1 2017
Re: Permit#1M -=
1,P Ir[lt Xrh t ate( ,licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) OFS469 Building Inspector
*Gmarol,Building,Resldentlal or Roofing Contractor or any indNldual certifled under469 F.S to make such an lnspecdon.
On or about 1 I did personally inspect the roof deck nailing
13 i �7
(Date)
work at•
(Job site address)
III 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).
I —Signature and Seal license#I , STATE OF FLORIDA COUNTY OF i�dfaA yl-
Swo to andsubscribedbeforemethis ' ( _dayofQ�,20�
by . Who DergoD l V-kn =to meorM6 has produced
as identification.
Notary Public,State of F
Signature of Notary
Commission Number: (Seal)
En 01/19/2011 �
�.aRrY THEREBA DE RITA
} MY COMMI3310N 4 FF 062929
EXPIRES:October 29,2017
��AG� 8endad ZftN Notary PubNo Undenvdbrs
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