HomeMy WebLinkAboutroof inspection affidavit 10/10/16 08:52AM capps 7725464606 Page 1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
772-46
t
Fax•. 2-6443
ROOF INSPECTION AFFIDAVIT
Re;. Permit#�� �o� C1t
t,
a licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle lVenge 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 I did personally inspect the roof deck nailing
(Date)
work at: 1 T r�1� �.� • J�. �),�/ 1
(lob site address) _
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
most stri ent).
ISK Cc� �
ignature and Seai License#f
STATE OF FLORIQA '
COUNTYOF 1
Sworn o an bs ibed efore me this�day of0�;A20_(
by Who is personally known to me or who has produced
as idents ca
Notary Public,State of Florid -'
Signature of Notary:
Commission Number: / (Seal)
En 01/19/2011
ROY D FRAMPTON1
NoUq Pubic-State of FWoft
Commission#FFi$8186
My commission sores Jan.$.2019
RECEIVED OCT 10 2016