HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Ea,FCE I Y
SEP 0.1 2011
PERMITTING
Sit. Lucie County, FL
Re: .Perm tts x� ,n ;71 -
licensed as a( Contract /Engineer/Architect
(Please print name & circl license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under. 468 F.S. t0 make such an inspection.
on or about 9 1-7 1 did personally inspect the roof deck nailing
( te)
work at:
(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
t strigent):
Signature and Se
CCr*' I&A 11 l0
License #.
STATE OF FLO A
COUNTY OF
Sw t and sub cribed before me this day of ' 20n
by `�_. Who is personally known t me or who -has produced
as identifatiFn.
Notary Pub' tate
Signature of Notary:_
Commission Number:
En 01/19/2011
KAREN-S. NIELSEN
commission # FF 115637
My Commission Expires
June 12, 2018