HomeMy WebLinkAboutRoof AffidavitOorktg�Y
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
771462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit #_101 2- O5-1 S
I, T) a jqj E ROY , licensed as a(n)Contractor*/Engineer/Architect
(Please ffint name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about I L21 taZ I did personally inspect the roof deck nailing
(Date)
work at: MoO WeWey &V9 ��nSt.•►�
(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).
C`CC 13240514
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF "6/;--f2kJ
Sworn to and subscribed before -me this ' day of
kZ i0
by D2-t4 )'S /% . Who is personally known to me or who has produced
E� as identification.
Notary Public, State o Flori
Signature of Notary:
Commission Numbe • (Seal)
En 01/19/2011
=" KEGAN CRAWFORD
c MYCOMMISSIONNC,G265055
'��oFM1o� EXPIRES' October 03, 2022