HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT (2).Jan.19, 2018 8.28AM C�;,—"anal Roofing PSL No.1906 P. 1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
. , Fort Pierce, FL 34982
772-462-Z165 or 772-462-2172
Fax., 772-462-6443
OOF IN$PECTI.O.N AFFIDAVIT
Re: Permit
licensed as a(n)Contractor*/Engineer/Architect
---•..(EleamMFuitrtiaMe & circle_li nse type.)--._..._--__ #F5468-Builef ft inspedor
Generpl, Building, ResidentlaiorRoofingControctororCOY individual wrtifredunder 46aF4, tomokesuch on inspettion.
On or about 1 / � I did personally • inspect the roof deck n llin
(Date)
work ate 00.r _ J
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition t Florida Exist' Building Code Section 611 orthe product approval submitted (whichever is
fet stri t}. !�
Signature an.d4_681i License #
STATE OF FLOFIQA
COUNTY OF k , L14
Sworto an S bs' rihed before me this I l �' day of ��� %iL(rit�/ [ 20
by + 1 • In Who is personally known to me o w has produced
asi en i
h •
Notary Public, State of jFlori a Notary Public Stefe of Florida
f JennitAt D®vls
5ignature of Notary:
Commission Number: G. My Commisalen FF 90bv28
LIZ (Sea() o► Expires 091101=0
En OV19/2011