HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Developt Services
Building & Code Regulation Division
2300 Virginia Avenue
Q .� , v • Y
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1'703 - 03-,W
I, �fzt ty 41NO4-0-71 , licensed as (n)Contracto /Engineer/Architect
(Please print name&circle license type) *F Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about �� J , 1 did personally inspect the roof deck nailing
(Date)
work at: �a � �rrt�r�c� e-i
(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).
'�Ai atui and Seal I License#
STATE OF FLORIDA ,
COUNTY OF cal— �G-�-'
Sworn to and subscribed before me this day ofP I 20�
by,,tIF�(et t A f�M.PS�i 1 . Who is personall��n to me or who has produced
as identification.
Notary Public,State of FloriAa
Signature of Notary:
Commission Number: I lg S (Seal)
En 01/19/2011
®AftTgI ice PROU,
MY'9•" `` EXP OMMISSION#FF
(407 39"IS3 IRb S September 16'2p187
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