HomeMy WebLinkAboutRoof Inspection AffidavitNov, 7, 2017 7:41AM
r . No, 2832 P. 1
Re: Permit # / / D 0 .7 % '
Planning & 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
I, W, J11 1171/10 licensed as a( ontractor*/Engineer/Architect
(Please print name & circle license type *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an lnspectlon.
On or about //- 4.17 9 /:4 AI.- ,1 did personally inspect the roof deck nailing
(Date)
work at: C
(10 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 708 or the product approval submitted (whichever
is most strigent).
Signat re and Seal
STATE OF FLORI
COUNTY iz r //.- l/L—
( 62111a 91'4
License #
Sworn to and subscribed before me this Q6 d 4e, 20 L 7,
by ,.' f9 /, ate fr.. Who ersonally known to h or who has produced
as identifiCalmr—
Notary Public, State of/FI Oda
Signature of Notary: RAVINA MICHELLE BARKLEY
Commission Number: (Seal) ' = Commission FF 080191
1'' Expires February 3, 2018
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