HomeMy WebLinkAboutRoof Inspection Affidavit 2017 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 RECEi,V,ED
ROOF INSPECTION AFFIDAVIT SEP 1 201
Re: Permit#Iac y5ow- Nzb
I, M\C i A:V:vnc y1 r , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,RRee}stdentlal or Roofing Contractor or any Individual certified under 468 F.5.to make such an inspection.
`
On or about ` A IK , 1 did personally inspect the root deck nailine
(Date)
work at: � lrs `�11t- tQ�Cx_•
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th lorida Existing Building Code Section 611 or the product approval submitted(whicheve is
mostt).
z 1-1.1 C C C, 1
Signature and Seal License#
STATE OF FLORIDA
COUNTY OFL )51�
Sworn to and subscribed before me this _ala 20�
by 1C �'Zr �1 �L e4Fj o is personally known t e or who has produced
aRtc�iC
i
Notary Public,State of Flori _
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
Notary Pubiio state of F(o►ida
(7iane Sunshine
fiMY Commission FF 106708
EXpiMs 04/13/2018