HomeMy WebLinkAboutRoof Inspection Affidavit 04.07.2020 12:56 PM 8637637662 P 1
tl+Mlle.•q..Al?•Y14Y4•M}I41tp.9'IfRCVIS:V.+.b000aA'APIIN/rI.PNFlYinp Planning& Develo rient Services
•�T ,--M•.T.•.:, Building& Code Re Oation Division
2300 Viroinia AvenCOUNT Y
e
Fort pierce, F1.3498
772-462-2165 or 77 +462-2172
Fax:772-462-6448
ROOF INSPEC N AFFJ b 10
Re: Permit#i C-211 (2
I, 96`� ��'l�-�� ,licensed as a(n)C)rtractor*/E gineer/Architect
(please print name&circle license type) *FS468 Building Inspector
General,Building,Residentidl or Roofing Contractor or any Individual certyled under 4 a F.S.to makesuch an inspection.
On or about "� O /. , I did personally inspect the roof deck Jling
(bate)
work at:
(Job site address)
Based upon that examination I have determined the Installation was done according to the curretrt
edition of the Florida Existing Building Code Section 611 or the product approvol submitted (whichever is
most str1g�ent)1
Signature and Seal Licens #i
3TAT9 40 PLOKI PA
COUNTY OF
Sworn t and su scribed before me this 4 7r day of �+►'-i�` _, q
by �,Who is personally khown to me or who ias produced
as Identlfication. - -
Notary Public,State of F or1
Signature of Nota ,
Commission Number: (Seal)
En 01/19/2011
• �...l��nwrM, wanlw��,etllntl�e.Mwl
HEATHER EDWARDSON
MY COMMISSION#00 2191A5
i' QJ� Bonded 7h IR N,May 1,t2nlonvrllera