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 # 1 N\— mis
RECEIVED
FEB 15 2018
ST, Lucie Coyrygy, Permitting
I, /-40 a licensed as a(n)Contractor*/Engineer/Architect
(Please p int 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 /�7/Zo� -;I did personally inspect the roof deck nailing
(Date)
work at: .20
All
(Job site add
r
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
mzzstrige ).
\1 2 ZZ;j
Signature an Seal License #
STATE OF FLO�JlJ
COUNTY OF
SW rn.to_and s bsyribed bef re me this I E day of Y 1 2c43
by iY)S . Who is personally known to me ho has produced
as identW4catio person:
Notary Public, State of Flo a
Signature of Notary:
Commission N MM KEPI""' V (Seal)
o`"aY'UB`cs Notary PUbIiC Sta a 024418 0
En 01/19/2011 a+�•. Commission # GG 2020
:• . ires Dec t6,
• e- Comm. Exp
Bonded through National Notary Assn.
111Z5c,�— 0,Z -Z;o