HomeMy WebLinkAboutRoof Inspection Affidavit 0411812017 11:01 All Area Roofing l TAX)772 464 6600 P.0011001
Planning& Development Service's
Building& Code Regulation Division
® 4 2300 Virginia Avenue
11
w Fort Pierce, FL 34987
mar- �n�u.•°-q� �G�°M-•p„ 772-462-2165 or 772.462-2172
Fax:772-462-6443
ROOF INSPECTION_ AFFIDAVIT
i
Re: Permit#
I, �10-r 1-f-S C-h licensed as a(n)Gontractor*/Fngi eer/Architect
(Please print name&,circle license type) *FS468 Building Inspector
`General,Building,Residential or Roofing Contractor or ony individual certified under'468 F.S,to make such an inspection.
On or about I did personally inspect the roof deck nalline
(Date)
work at: QfEi 1) e.r Qd
(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
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF � e O.C.
Sworn to and subscrNd before me this / day of %1 L 20J
by 0-JI'larIP-S i C i C'kLQ.,- (5 Who is erson_ally known tome or who has produced
as identification.
i
Notary Public,state of F[ w ` E1V ED PR 1 g 2017
Signature of[Votary'
Commission Number ('Seal) REC
En 01/19/2011
Y ppITH MASON
W�o V0..,°4* W COMMISSION 0%003939
.1 EXPIRES:June 20,2020 ,Q
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