HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�-✓ I `� IT y—� Building&Code Regulation Division
2300 Virginia.Avenue
W o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 7727462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#1-o 1.- /);�D
licensed as a( Contractor* Engineer/Architect
(Please print name&circle license type) *FS468 u nspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date) /�work at: �i@O Ctn,4/'c. /- Y &tk
(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).
Signature and Seal License#
i
STATE OF FLORIDA
COUNTY OF b)t-P,li,J4 si6e. e
Sworn to and subscribed before me this C"t'hday of 201_�j
by , 0e Who is personally known to me or ho has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En01/19/2011 �PaY?�1&�. Heather Edwa "son
COMMISSION#FF125216
EXPIRES: May 21, 2018 `vEC FEB`2�20�
wWw.AARONNOTARY.COM RECE
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