HomeMy WebLinkAboutRoof Inspection Affidavit 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
ROOF INSPECTION AFFIDAVIT
Re: Permit# GLC-- \503 -O/{ DLk
ACL , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 09 1 o � 1s , I did personally inspect the roof deck nailing
(Date)
work at: :4-4 --:xo �6.?=-� t9,fig.(,. �—>T
(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 strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY`OFS+, -(-( LYl 4't$
Sworn to and subscribed before me this_day of I IR+ 20�,
by 11'1I L/I G CL brU I SLA' Who is personally knowjto me or who has produced
as identification.
Notary Public,State of F orida
Signature of Nota +��®e,� ,EpFERfMM
Commission Number: ^ I��4s�O (Seal) k * MY COMMISSION0EE16443
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En 01/19/2011 9
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