HomeMy WebLinkAboutRoof Inspection Aff Jan 251705:16p - p'1
Planning&Development Services
S J.
Z J . Building&Code Regulation Division
2300 Virginia Avenue
o # Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT Trad-y Winds 30CA!4g
Michael Miller
Pa Box 131118
�. o.,rce.FL 8-4a79
Re: Permit# `d2�
licensed as a{n Contractor Engineer/Architect
(Please print name&circle license type) *FS468 Bui mg Inspector
*General,Building,Residential or Roofing Contractor or any individuol certified under 468 F.S.to make such an inspection.
On or about 1 2 LA k--i, i did personally inspect the roof deck nailine
(Date)
work at:
(Job site address)
Based upon that examination l 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 stri In
cc. cc)
Signature and Seo License#
STATE OF FLORIDA
COUNTYOF
Sworn to and subscribed before me this 7-4 day of 20-0
by k` l kZi—. Who i ersonafly known to m r who has produced
as identification.
Notary Public,State of Florida FEMA LYNE GANDEE
Signature of Notary: NOTARY PUBLIc
Commission Number_ i Lu STATE OF FLORIDA
Ccnrn#FF051M
En 01/19/2011 Expires 91412017