HomeMy WebLinkAboutRoof Inspection Affidavit 26.06.2020 12:38 PM 8637637662 P 1
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
i
ROOF INSPECTION AFFIDAVIT
I
Re: Permit#
licensed as a(n)Contractor*/Engineer Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F S.to make such an insp Tction.
On or about k — t l " z� 0,�,, , I did personally Inspect the roof deck nailing
/(Date)
- l
work at: -7� l..c(,(
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Build Ing Code Section 611 or the product approval subm tted whichever is
g p Pp
most strigent).
70-07, B,---,,�� - -...
Signature and Seal License#
STATE OF FLORIDA
COUNTY of -�
sworn to and s crib d before me this ,1 1 d of 2qr
by,lo_r°. Wha Is ersonally known t a has produced
as Identification.
Notary Public,State of Fl rid
Signature of Note� ,.
eamml6S10n Number: (Seal)
En 01/19/2011
HEATHEREDWARb50N
- MY COMMISSION ii GG 215105
EXPIRES:May 21,2022
p,;,;;t`" Bantl¢tl Tna Nvlary Pabllc tlndprvnilca+
+ew