HomeMy WebLinkAboutRoof Inspection Affidavit 2015-09-23 13:13 j .a.taylor roof'--, 772 468 8397 >> P 1/1
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fork Pierce, FL 34982
- ---- - 772.462-2165 or 772-462-2172
Fax: 772-462.6443
ROOF INSPECTION AFFIDAVIT
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Re: Permit#
I, Zlicensed as a( tin�inglnspector
/Engineer/Architect
(Plea print name&circle license type) *FS4 8
*General,Building,Residential or Ronfing Contractor or any Individual certified under 468 F,S,to make such on inspection.
On or about Z � , I did personally inspect the roof deck nailing
E202(Date)
work at: ./f'fY19/J')L'f/�Z0A
(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 igen .
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Signature and Seal License#
STATE OF FLORI
COUNTY OF
Sworn to dsubsc Iq before me this da f 2OLT
kalp
by Who is pe nally know to me or who has produced
as Ide ificatlon,
Notary Pub to of Florida '
Signature of o
Commission Number; (Seal)
En 01/19/2011
KAREN S. NIELSEN
^ Cornmis5ion k FF 115637
My Commission Gxpiros
June 12, 2018