HomeMy WebLinkAboutRoof Inspection Affidavit Planning&:Develop'ment Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce FL 3498.2
- 771-462-2165 or 772-462-2172
Fax:.772-462-6443
ROOF INSPECTION.AFFIDAVIT.
Re: Permit,#:f /U1- 0 l
1, Jamie:Cisco ,:licensed as a(n)Contractor*/Engineer/Architect
(Please print.name&'circle License type) *FS4: $-Building,lnspector'
*General,Building,Residentipl or Roof yiducciieddC468,F.5T9hrn lfe q. uc an inspection.
On or about `7 1 did personally inspect.the::roofdeck nailing
(Date)workat: �('_C:i'wc h - l)'4
(Job site,address)
Based upon-that.examination Ihave: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).
'�- 000.1827796.
Signature and Seal Lic6hse,#
RECEIVED
STATE OF FLORLDA JUL.2 4 2017
COUNTY oF' Martin
Sworn to`and ubscribed before me this day of,,1 2Q�
by Jarhie cisco WhoJs personally known,t m-e orwho fibs produced
as identification.
,Notary Public,,State:.of Florida
Signature:of Notary:. _
Commission Number: (Seal).
En 01/19/2011 °L Nots!Pubk State'of FMda
?° ;Madiyn kwegel_,
` v INy Camm{ssfon-f M#g
Pa Po Expirm 66 28YLo19