HomeMy WebLinkAboutRoof Inspection Affidavit Poll
Planning&.Development Services '
Building&Code•Regulation Dhrision
2300.Virginia Avenue
'Fort Pierce;FL 84.982
772.462.2165 or 772-462-2172
Fax:7727462-6443
ROOF INSPECTION AFFIDAVIT'
Re' :. Permit#
I,_ �' / 1 46. 5 ., licensed as a( ontra'ctor*/ ineer/Architect
(Please print name&circle license type)• ' *FS In Inspedtor .
*General.'aurlding,Residential or Roofing Contractor or any Individual cerfiftled under 46s F_5-.to make such an inspection:.
On or about- I did personally inspect.the roof deck nailin - '
oat )
work at: -796). C .'y S �` `l L `i)Xo
(Job site.addees's) '
Based upon that examination I have determined the installation was done•adcordirig to the current•
.edition' f the Florida txlsting Building Code Section 611'or t he.product approval submitted (whichever.is'
mos nt).
Signature'and Seal Ucense'#.'
STATE OF FLORID
COUNTY OF
Swor&and:¢ s Ibed before me-thl 20 ,
by. JP✓c . •Who is personaily• to a who has produced
Notary.Pubiic,StaII te of'Flor{ a
St nature of Notary G
Commission Number: ..: ..••. (Seal)'
``iP�,.• ..,,
DAWN MILONE
..
En•01/19/2011 �, ;.'�° matory Pubiic-State of Roma
" �y`•i My Comm-'ExpiresMar•22,2U17
,vy4 °Ttr� Commissioq-A EE 677571
Obfided TRVOU4911Mtianel Nncary.A55n,