HomeMy WebLinkAboutRoof Inspection Affidavit 0311012017 MOT ¢dK) P.0011001,
Planning& Development Services
Building&Code Regulation Division
COUNTY Z300 Virginia Avenue
Fort Pierce, FL 34982
— - 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 5LC-i'+o2.-0463
I, -fz1CarA-0 torr".L. ,licensed as a(n)Contractor"/Engineer/Architect
(Please print name&circle license type) `FS468 Building inspector
'General,Building,Residential or hoofing Contractor or any individuol certified under 468 F.S.to make such an inspection.
On or about 1 1 did personally inspect the roof deck nailing
(Date)
work at: 9$3 kcv; 9a. (i to 01�. 6L
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Cade Section 611 or the product approval submitted(whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF We b yl
Sworn to and subscribed before me this q day of MOYCk 201
by 'T—N&-o- •o i4uy-�,, Who is personally known to me or who has produced
as identification.
c
Notary Public,State of FI
Signature of Notary:
Commission Number: F Ogg I,-)-t-.;:%_ (Seal)
En 01/19/2011 =EXP1RE&00tober29,2017
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hnj
unol
pub
RECEIVED MAR 09-2017