HomeMy WebLinkAboutInspection Docs 1 < -
Planning&Development Services
Building&Code Regulation Division
III Ii 2300 Virginia Avenue
* � Fort Pierce,FIL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT -
Re: Permit#
licensed asontractor* Engineer/Architect
Please print nacre&circle license a *FS46$Building lets ecf6r r
*Caenerai,Building,Residential or Roofing Contractor or any individual certiJled under 468 F.S to make such an inspection.
On or abo4t -!6-/b ,I did personally inspect the roof deck nailing
(Date)
workat: 11Yf(l oe4A)k6 '
(Job site address)
Based upon that examination I have determined the installation wwas-done according-to the current
edition of the 'da Existing Building Code Section 6116r-the product approval submitted(whichever is
most
Signature and Seal License#
• STATE OF FLORIDA
4
COUNTY OF
Sw to and sub 'bed•before me this da 20 14
b . Who i onally know19)me or who has produced
as identifi
Notary Public,State of Florida
Signature of Notiry:
Commission Number: :(Sinal) -
En 0 /19/2oii
ttiEYB,
P
HUMPH
EXPIRES.MtSS10N#FF 174772
eF °e,' endMarch 6,2018
ed ruhbf PubikUnd.:rvrte.5
� 'F