HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�A z• P _- a 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#SAC- - MC 3k-01 Off
I, S41'r tJ -TQ�N�c. 'f— , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 3. 1 - 1-1 , 1 did personally inspect the roof deck nailing
(Date)
work at:�t-1� 3 SP.N-C RR.Ii� Rol
(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).
—ZILcc. - C��uti l l
nature and Seal License#
STATE OF FLORIDA
COUNTY OF LVCt�
Sworn to and subscribed before me this � day of HIP'-(?.CY\ 20\1 !
by -SO t`'1 �CU�N�,CG who is personally known tome or who has produced
asicl
en ' ratio .
Notary Public,State of F rida
Signature of Notary:
Commission Number: (Seal)
i
En 01/19/20.11
RECEIVED