HomeMy WebLinkAboutRoof Inspection Affidavit F
Planning,&Development.Services
Building:&Code Regulation Division
h 290.0 Virginia Avenue .
~�5
FortTiierce, FL 349.82
772-462-2165 or 772-462=2172.
Fax;772-462-6443
ROOF INSPECTION AFFIDAVIT JUN 2 9 zov
Re Permit# . l
(Z;ACI,),)` ,licensed as a(n)Cbntractor*/Engineer/Architect
(Fle' ase print name.&circle license type) *F5468 Building Inspector
*General,guildingi;Residentiol orRoofng contractor or any individual certified under 468AS-to make such on.inspection.
f
On or about. I did personally.inspect the roof.deck nailing;
(Da ) c
work at: sa t:j- i-'\ u Q cDA i< Z F V
(Job site address)'
i
Based upon that examination 1 have d'eterminedthe installation-was.done accordingao the current
edition of the.Florida Existing Building Code Section 611 or the product approval submitted (whichever is !
most strigent).
i
`oZ�41.0-7 i
Signature and Seal License# }
i
STATE OF FL•ORI
COUNTY.OF
Sw o and sbscribefJ before:me day
to u 04, . S �� 20 .
by It n bscr Paco K' is personally. now to e; h has produced,
a " enti(Icat'
Notary public,State of Florida
" , NICOLE N.HALL
Signature:of.'Notary:: (Seal)Commission Numbers.. -' '- My COMMISSION Y FF9364
4!, 74
EXPIRES November'*2019
I40?12904"53 FbnQaMol�Ni0A�0on►
En 01f 19/2011. -