HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building & Code.Regulation Division
ter- 2300 Virginia Avenue
E ' ) Fort Pierce FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
`' l 103 -O D(3 q
Re: Permit�t Jl..��
I, CTULA- =1 Acldi,�5�DJn licensed as a(n)Contractor"/Engineer/Architect
(Please print narne&circle license type) 'FS668 Building Inspector
General,Building,Residential or Roofing Confractot or any individual ceniJieeJ under.161{AS.to make such an inspection,
On or about �—. I did personally inspect the root deck nailing
(Date)
workat:
(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
I ost strigent).
�j(��, 'r(O's :I BOON
Signature and Seal License tt
STATE OF FLO IDA
COUNTY OF
lY) +� ,�
Sworn to and subscribed before:me this clay of_-�rv��- 2OA],
by C 5_L1 — �_Y�C '�`t c._�c�?n jrs 1�ciilty known to rnr.•or�vho h,is procJucecf
as identification.
Notary Public,State of Florida
Signature of Notary; �4.1L �—
Commission Number; c'.0 Ja: t'? (Seal)
Eli 01/19/2011
Yru JOANN'eMEEHAN
oi�Y,Ptb4 JOAF:VF!cSFEI•!AN
MY COMMISSION A GO 028517 a' MY G 02650
Wes, �c EXPIRES:NOV�rr1bN 23,2020 •..,.,v
oQ`o 0a m Trvu Busget? Su is ° o` V?P ::r . . 23.2020
s
orry VY • 0F1j-0 tA'datl;i�'u.....�i:\GrL'frSWt0i9