HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
- _ = Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#a - 35
I, o In 'Cuss licensed as ton c r*/Engineer/Architect
(Please print name &circle license type) S uilding Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about i-a 13 aCD I did personally inspect the roof deck nailing
(Date)
work at: 35,P2 S Md(q QtG Vp- T20/±
(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 striger� ). '
S nature and Seal License #
STATE OF FLORIDA
COUNTYOF &, L a A�
Sworn to prid subscribed before me this da 202D
by )"Y) l as. Who is rsonally kno n me or who has produced
as identification.
Notary Public,State of Florid ICI /'t�,l1
Signature of Notary: = 'W�/� J�
y Notary PuGlc State of Flonda
Commission Number Liydj;
Kelsi Moss
My Cama ,w GG 308996
En 01/19/2011 Expires 0310712023