HomeMy WebLinkAboutRoof Inspection Affidivat Planning& Development Services
�- ' Building&Code Regulation Division
' COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a )Contrac */Engineer/Architect
(Please print name&circle license type) *FS468 BuI nspector
*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
(bate
work at: S?2-Y 1ojMjLw9,- , '-OQY—\
(Job site a ress)
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 strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OFs
Sworn to and subscribed before me this C u�)—day o 20_If
by�Iv-� �G:un n�rl Who is personally known me or who has produced
as identification.
Notary Public,S f ridaa
Signature of�tary:
Commission N m (Seal)
LASHAHNAINGRAM
�Pa'``A� Notary Public.State of Florida
En 01/19/2011 =_°� ".°;?My Comm.Expires Dec 20,2018
Commission I FF 1772A9
Bonded through National Notary Assn.