HomeMy WebLinkAboutRoof Inspection AffidavitPlanning 8 Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-216S or 772.46z-2172 .
Fax: 772-462.6443
Ile: Permit* l G 4 3 -&q .4"7
t, rr'a licensed as a( /Engineer/Arch sect
(Please print name & tircie license type} *F5468 BLing pector
•General, 81WHing, Aesldentiol or Rooflnp Contractor or any Individual certifted under 460 F.S. to make such on Inspection.
On or about�� �� I did personally inspect the roof deg ailing
(Date)
work at: 79D �.r.r /Gc 4J
(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).
Signatur al
STATE OF FLORIDA
COUNTY OF S±LK l
Sworn o and subscribed hefora rag this l
by rV14i�-•C"
as id
Notary Public, State of Florida
Signature of Notary.,
CamTlsslon Number:
En 01/19/2011
RECEIVED APR 13 2016
e-ce- r-Ucad�y
License #
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