HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
'EBuilding&Code Regulation Division
2300 Virginia Avenue
�' NTY� Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# �L e.'- �7y Z� 027 1
, licensed as a( ontractor /Engineer/Architect
(Please print name&circle license type) *FS468 ui ing Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection. _
On or about `�/ t/ / 17 , 1 did personally inspect the roof deck nailing
(Date)
work at: GAA-A nA lOWJ U L'
(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). C
c« - i 33 v 9 Z�
Signature a S I License#
STATE OF FLORIDA "
COUNTY OF�,V ; ' N,
Sworn to and subscribed before me this J� day of ' l 20M
by Tohn ,_Skarm tI Who is 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
KELLIE J.SWEET
Notary Public
State of Florida
•�, Commission#FF 213191
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