HomeMy WebLinkAboutRoof Inspection AffidavitSep 18 1712:07a j p.1
1
L MOM Planning & Development Services
k.J�
' - Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-46272165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: _ Permit #_ / 110 ?- �)d 902.
I,2-r licensed as a( Contractor*/Engineer/Architect
(Please print name & circle license type) *FS46 "Inspector
*General, Building, Residential or Roofing Con tractor or any individual certified under 468F.S. to make such on inspection.
On or about i"- 1 fir_ i'� 1 did personally inspect the roof deck nailing
(Dated II'' r�
work at: 5-1 1 7 T�� ri1�� �t � ��- !"r�2<
(Job site address)
Based upon that fiatia ll have determined the installation was done according to the current
edition ofth lorida Existing 13a'Iding Code Section 611 or the product approval submitted (whichever is
most stri n0.
ienature'an eal License #
STATE OF FLORIDA
COUNTY OF
Swom to nd subscribed before me this y of�Al�rtiloz.� 20—M
by e - Fib�vA . W�sonally know t meteor who has produced
as identification.
Notary Public, State of Florid�
Signature ofNotary: 'rL"a RECEIVED SEP 1 9 2017
Commission Humber: FF r( '7S'�.3 (Seal)
En 01119/2011
y % Notary Public State of Fiorids
Carmela Frantaritoni
Arty Commission FF 975783
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Expires 05/29/2020
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