HomeMy WebLinkAboutRoof Inspection Affidavit '
-Planning•&Devel,o'pment Services
Building 9-Code Regulation Division
2$QO Virginia-Avenue
Fort•Pierce, FL 34982
772-462-2165'or 772-462-2172
Tax:772-462=6443.
ROOF•INSPECTION AFFIDAVIT
Re: Permit:# �J1..i":- 1'`lD�:• oaa
I, AV-� SDK s i c7 ra ;.Iicensed as a(n.Contracto /Engineer/Architect ,
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residentidl.or Roofing Contractor or any individual.certified under 468 F.'S:to make such an inspection,
On or about o`)- I� i did personally`inspect the roof decknailing
(D te)
work at::4610or ' C)Qb. �t l . kalrSy Q-L rt�,Q.C:
(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): =
CAS ti3a� �q
5ignatur. and5ea1. .. ice L` nse'#
STATE OF FL IDA
' COUNTY OF
Sw rn-to and subscrib d befor =me this�day of 20;
b. Who-is personal) known.to. or who has produced,
as iddntiiacaticil.
Notary Public,State-of Florid
Signature of Notary; .; Y P�a�, MARK T PA7ERN0
Commission Number: �• Notary Public-State of Florida
Commission#FF 237623
En 01/19J21)11 Io 11"�ao•' My Comm.Expires•Sep 21,2019
Bontled3hrougti National Notary Assn.
0
RECEIVED FEB 17 2017 0'