HomeMy WebLinkAboutInspection Docs 2015-09-08 19:49 j.a.taylor roofing 772 468 8397 >> P 1/1
Planning&Development Services
Building&Code Regulation Division
i 2300 Virginia Avenue
Fort Pierce, FL 34982
-- — - 772-462-2165 or 772-462-2172
Fax:772-462.6443 RECEIVEFD
ROOF INSPECTION AFFIDAVIT SEP /-9 2015
Re: Permit#/.
1. licensed a �ngineer/Architect
(Plea a print name&circle license type) * S468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.5,to make such an inspection.
r-
On or about I did personally inspect the roof deck nailing
(Date)
work at: &I P/ r
(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}I
r
Signat4e Seal License#
STATE OF FLO CJ�Q I
COUNTY OF Q�
Sworn to subscrie¢ afore me this lJ da f 20/
by , Who Is pe ally known to me or who has produced
as iden fication.
Notary bile, of Florida !
Signature o
Commission Number:
"��'•��,, REN S. NIELSEN
'�� �`^s Commission H FF 115637
En 01/19/2011 '� My Commission Expires
„; ;;r June 12, 201 a