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
Re: Permit # / rl ! / ' b Id-3
1, Jamie Cisco licensed as a(n)Contractor*/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 inspection.
On or about* I did personally inspect the roof deck nailing
(Date)
work at: U� I I i� f S �1�. . Pf eroe..
(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
most strigent).
Signature and Seal
Seal
CCC1327796
License #
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this ?IJ-' day of 201
by Jamie Cisco Jr who has produced
as identification.
Yp
Notary Public, State of FI i °a� Notary Pu6Nc State o(p�da
Signature of Notary: Q Marilyn Kluegel
�DS�
P �Y Commission FF 23Q17g
Commission Number: (Seriea Exairesrta»me,..,.
En 01/19/2011