HomeMy WebLinkAboutRoof Inspection 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
� EIVE
ROOF INSPECTION AFFIDAVIT
FEB 2 2 2011 1
Re: Permit# 5k C' / - BY: I'
license s a(n)Cont�rangineer/Architect
(Please pre name&circle license type) F uector
'General,Building,ResldentiaFaFRoojng Co tractor or any individual certified under 468 FS.to make such on inspection.
On or about a ;1 did personally inspect the roof deck nailin
(Da e) iI
work at: t"4✓� c
(Job site address)
Based upon that examination I have determined the installation was done according to the current I
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
signature and Seal License#
STATE OF FLORIDA
COUNTY OF
sworn to and subscribed before me this day of L ZoA 1�
by ( Who is Personally known to me or ho has produced
as identification.
'0'NotarY Public State `�`�N,lGltAd URl�►/�UiTi������f•
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re of Kota cA 17so, .
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Notary. � ..
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eal
Commission
fission Number: � ..
EEB71346
En 07./19/2011 ��,• 4b
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