HomeMy WebLinkAboutRoof Inspection Affidavit 0511812017 12:42 ONSHORE ROOFSPECIALIST (FAR) P.0011001
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
D Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 ✓�
ROOF INSPECTION AFFIDAVIT
Re: erm it# (
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofin
g
Contractor or any individual certified under 468 F.S.to make such an inspection.
On.or about 51%— + , 1 did personally inspect the roof deck nailing
n (Date)
work at:i d �� f�I � �G� ��S'C• �"l:ld "�
(Job site address)
reditionofth
upon hat examinatkon I have determined the installation was done according to the current
Florida Existing wilding Code Section 611 or the product approval submitted (whichever is
rige t).
Signature and Seal License#
STATE OF FLOKD&
COUNTY OF c C �
Swor_ to a d ubscrib gd before me this day of 20 _
Who is personally known t6 me or who has produced
as identification.
Notary Public,StaAofriSignatureofNota
Commission Number: (Seal)
En 01/19/2011
RECEIVED MAY 19 2D17