HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # -S / C �— Oo %
license Contract Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential ar Roofing Contractor or any individual certiffed under 468 F.S. to make such on insp� ction.
On or aboutW,fSin 14A jY11 CIJ 17. I did personally inspect the roof deck nailing
(Date
work at: SC& I M Q D wla(Y- w LUta
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
mo t 'gent).
Coo 133D
ignature and Seal License #
STATE OF F RIDA
COUNTY 0
Sworn to and subscribed before me this da 20J
by %%Nt%) NQ� Who' personally know tobnje ho has produced
asidentiI
Notary Public, State of Florida
Signature of Notary:
Commission, Number: (Seal)
En 01/19/2011 o1rArv� c PABLOARES
' * MY COMMISSION 8 FF 998006
EXPIRES: June t, 2020 LLM
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