HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Ids; I'; - Building & Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
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I, % \lk ag-i'C`y T)r'GJ�&n A, , 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 L7 �3 , 1 did personally inspect the roof deck nailing
(Date) n
work at: 6 f�'t- S'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).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 'jt'
Sworn to and subscribed before me this Z day of -7Cf-r'M'f5f" 20�,J
by 14,-,)ti Lt to Who is personally known tome or who has produced
as identification.
Notary Public,State of Florida f
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 ,.; ••' ��``�t'la c `�° „w=�?j.?3�.F7�
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