HomeMy WebLinkAboutRoof Inspection AffidavitAUG-18-2017 05:42A FROM: TO:17724626443, P.1
Planning & Development Services
Building & Code Regulation Division
2306,Virginia Avenue A-.
Fort Pierce. FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFID15L/
Re: Permit #
license4 as a(n ontracto /Engineer/Arr~hitect
(Please print name & circle license type) *FS468 Sul ding Inspector
*General, 8k11oYng, Ras/dentirylarR inp Contractarorany individual cari#ied under468#.S, io make such on inspection.
On or about , I did personally in4pect the roof deck nailing
(- )
work at: Zan
tlob site add rest)
Based upon that examination I have determined the Installation was -done according to the current
edition of d Florida. Existing Building Code Section 611 or the product approval submitted (whichever is
0 0 Oc
re and Seal License #
STATE O F FLO
CouNTY RF
Sworp4o and sub o me this —L..:....: day of 2p,L.r
by . r e , who Is personally known to a or who has produced
as identification.
Notary Public, State of Fl-o
Signature of Notary:
Commisalon °Number,
Hn 01/191201i
(seal) • MARQUERTITALESTOCK
i COMM MYI5510N N FF 238485
EXPIRES: October S. 2010
"N , Bonded ThNnoisy Pubic UAdeAvdhm