HomeMy WebLinkAboutRoof Inspection Affidavit Planning &Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
o Fort Pierce, FL 34982
- - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
'6 I, 1r1 G-I) H a licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license typ ) *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 5 1301 1 did personally inspect the roof deck nailing
(Date)
work at: /off S` l L'�Cc ��•
(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).
-;�3 33
Sign at r nd Se License It
STATE OF FLORI A
COUNTYOF 5F L06
Sw to and subscribed before eth ,, dayof a m s 20�
b � MGU Q ,
n to m or who has produced
as identificatio .
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 a�o���,e ROBERpe��®of�
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