HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITiREm"-r ..--
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1 -3 163
SCANNEL,
BY
St. Lucie r^-
licensed as n)Contractor* ngineer/Architect
(Please print name & circle license typel 68 Building Inspector
*Genera, Building, Residential or Roofing Contractor or any individual certified under 468 F.s. to make such an inspection.
On or about 3-10 —,-A , I did personally inspect the roof deck nailing
(Date)
workat: A),C,14d&7) ) ad
(Job 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 t .
2� --
GI�o'rS'2--'� Aoo'Ki
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF 5%+t-t)c-t'�-
Sworn to and subscribed before me this 1a day of SRCy� 20_15
by!S+-.-Jcr% Who is personally known tome or who has produced
t 7D L as identification.
Notary Public, State o lorida
Signature of Notary,
Commission Number: dS -l•�o (Se
En 01/19/2011 yr OENF St 6
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