HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
� D
Fort Pierce FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIV'
D FEB p 3 201
Re: Permit# CC( 7 0
I,�C�' -�/�l/J�C�/�/ , licensed as a Contractor* ngineer/Architect
(Please print name&circle license type) *F ing Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about CSS Q;2 2(5t , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based up that examination I have determined the installation was done according to the current
edition of he Florida Existing Building Code Section 611 or the product approval submitted (whichever is
.most strig nt).
fIx y ,
V0
Sig ature and Seal °_ 202 License#
%01% FRICA o
STATE OF FL ID
COUNTY OF
v
Ss, rn to and subsc *bed befpr me this day of� `U ��`1 20_,
by I Whoi personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
® NICOLLETTE BENICHIO
MY COMMISSION#FFI12219
�� F,XPIRES:July 18,2019