HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJul 051811:17p
lanning & Development Services
uilding & Code Regulation Division
300 Virginia Avenue
art Pierce. FL 34982
72-462-2165 or 772-462-2172
ax: 772-462-6443
Re: Permit# �" �v' r C)
ReC'e'V
4110.0
per
ti�U e c a meet
I, !�+GOI! fTorr.licensed as a(n)Contrac or*/Engineer/Architect
(Please print name & circle license type) �Co �S *1`5468 Building Inspector
*General, Suilding Residential or Roofing Contractor cr any i dividual certified under 468 F.S. to make such an inspection.
On or about I did pe sonally inspect the roof deck nailing
(Date) (� Q
work at: lO �UQ OF ijAe.c, P 5�.�
(Job site agdress)
Based upon that examination I have determinelo the installation was done according to the current
editio a Flori Existing Building Code Se Lion 708 or the product approval submitted (whichever
ture tndSea4--�
STATE OF FLORIDA
COUNTY OF hlF11t,4�n
,Swam to and subscribed before me this n day of
by 5ea;{. n }a:'A-. __ '.-Who is personally
enEification.
Notary Public, State of Florida�,.
Signature of Notary: girl r) �e-
Commission Number: F E 4i 7S- `7 F3
En
C'CC l (aR CD
License #
20� ,
or who has produced
(Seal)
=I,-
r Putate of Floridatanto
nl�� FF 9757$3��020