HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Se�,:.�Es
Building& Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#SDC— L5-4D(o—o 1 ?�
I, , licensed asa(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
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On or about 9I did personally inspect the roof deck nailing
(Date
work at: (7,S/ E mg-P ,/al _
(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
ent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Z
Swo to and subsff ed before me this day of
by l V/ 9 Who is personal) no n tti me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: f (Seal)
En 01/19/2011
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