HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772-462-2172
Fax: 772-462-6443
INSPECTION RO FFFI VI OAFFIDAVIT
T
/ !jr� i
Re: Permit# ( � oq ��
licensed as a(n)Co ntractor*/Engi nee r/Architect
(Plea a print name cle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
7
On or about `-' — 7-_-�(, 1 did personally inspect the roof deck nailing
(Date)
work at: -L02
Yob site address)
� I
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).
Signature and Seal License#
i
STATE OF FL R D
COUNTY( F
S o and subscribed before me this day of 2011
by hMc� tJ.aa,_VA-cL Who is personally known o me or who has produced
as identification.
Notary Public,Stat on&"
Signature of Nota y:
Commission Number: (Seal)
LASHAHNAINGRAM
En01/19/2011 Notar State of Florida
•Ec My COHM, `spires Dec 20,20t6
Q�
GorruPlrss+on#FF 177249
Nough National Notary Assn.
i
I