HomeMy WebLinkAboutRoof Inspection Affidavit 0512012015 09:33 (FAX) P.0011001
Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT MAY Z 0 2015
Re: Permit#`9. dv>~ob-30 Cr�f'i
I, '11sa< �'tl
2, licensed as n)Con#.Tactor*/E gineer/,4rchitect
(Please print nq'mA circle li nse type) *FS468 a ding inspector
'General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on Inspection.
On or about 20 6 , 1 did personally inspect the roof deck nailing
2
(.Dat6)
work at: rig,
Job site address)
Basedupon that a ation I have determined the installation was done according to the current
edition of th da Exis ng Buil ng Code Section 611 or the product approval submitted (whichever is
most stri
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Signa re an al License#
i
STATE OF FLORIDA
COUNTY OF ✓ir
Sworn and sub 'ribed before me this_19 day of 201-5
by . LA2 Who is rsonall known t me r o as pro
b as identification.
`� f p
Notary Public,State of axida UwIAllA M Pl T1"hiiAi`1
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Signature of Notary: �= MY COiu1M15S10Nt Fo36282
Commission Num r:_��f��(n ,�- ��q.�" � EXPIPIES Jaty 15,2017
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