HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
5.
Buildingt Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPEMON AFFIDAVit RECEIVED
SEP 14 2015
Re: Permit
N"I .�n e-,��a '10 A- licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*Seneroi,ouilding,ResidentialotRaafrng C�i`or anyindividual certified under468 F.S.to makesuch an Inspection.
On or about 4? 1 did personally inspect the roof deck nailing
(bate)
work at. J, &z6=
(,ob 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).
a- A 131 � ( psz3a
Signature and Seal- License#
STATE OF FLO
COUNTY OF
Sw rn to nd U $cr I -ed before me this I day,of
by V\j Ir —I Q'. who Is personally known lo me or who has produced
as identification.
Notary Public,State o .rit a
Signature or Notary:
Commission Number.
(Seal)
En 01/19/2011
LESLIE C WARREN
Ndtary-Pubilc-State of Florida,
My Comm_Expires Sep 19*1-2018
I �
commission#FF 142937' el 56 V
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100/100 d 010E 122 2WHA) 0008 hOD MG ISH038i5 10 : l1 (N0P )S102-l?1-d3S