HomeMy WebLinkAboutRoof Inspection Affidavit }
Planning&Development Services
~ Y ~ Building&Code Regulation Division
Oki 2300 Virginia Avenue
a, Fort Pierce, FL 34982
772-462-2165 or 772-462-
Fax:772-462-6443 OCT 0 2 20"
ROOF INSPECTION AFFIDAVIT
Re: Permit# —70 1 ~ v
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractororany individual certified under 468FS.to make such inspection.
On or about q I 31d 1 -7 t did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination 1 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).
CC
gnature and Seal License#
STATE OF FLORIDA
COUNTY OF
sworn to an (su c.rlbA before me this day of_ �'1 2p ',
by 1 / Who is personalty known to me or who has produced
` as i en I I .
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011-
KERAN DUANE FRAMPTON
F"COMMISSION 0 0010?3w
EXPIRES May 23.2021
i
E abed 9091I79.VgZLL sdde:) WVZE:60 L6/ZO/06
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