HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
i ` Building&Code.Regulation Division
2300•Virginia Avenue
o o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# DOI G
I, e LUTI , licensed as a ontractor* ngineer/Architect
(Please print name&circle license type) *FS Building Inspector
*General,Building,Residen ial or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date) G%V
ee
work at: _a, STI�Ob�
* �
(Job site address)
Bas upon that examination I have determined the installation was done according to the current
edi o of th FI da Existing Building Code Section 611 or the product approval submitted (whichever is
m s r'gen )
G�,Cc 5zq s3e
i a ure Seal License#
STATE OF FLORIDA
COUNTY OF
Swo to and sub cri ed before me this day of 201�)
b {AC6Vo is personally known to me or ho has Y h p y s produced_
J-, as identification.
Notary Public,State of Florid
Signature of Notary: Aeal)
Commission Number:
En 01/19/2011
ANGELA M HUFF
1Y-PUB��i
'o �� Notary Public-State of Florida
_* #; = Commission#FF 234730 .
My Comm.Expires May 27.2019 .
OFF ' Bonded through National Notary Assn