HomeMy WebLinkAboutRoof Inspection Affidavit 1
Planning& Development Services
"- Building&Code Regulation Division
2300 Virginia Avenue '
Fort Pierce, FL 34982 ?�
= - ~ 772-462-2165 or 772-462-2172
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Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT '
Re: Permit# — 0 3,57
26 IE0,, Lo &(Io L) licensed as.a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F 5.to make such an inspection.
On or about �0— —l , 1 did personally inspect the roof deck nail!�
(Date)1-3z .
work at: J�fj � C( �
(Job site address)
Based.upon that examination I have determined the installation was done according to the current
editio 4
Florida Existing Building Code Section 611 or the product approval submitted (whichever is
ost.strige ).
CGc L �g
nature and Seal License#
STATE OF FLORIDA
COUNTY OF
SworsAto and subscribed before me this I I d y of OCT 20
by r,.O&er?, 69pcc Who! nally know o me or who has produced =� `
as identification.
Notary Public,State of rids
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011