HomeMy WebLinkAboutRoof Inspection Affidavit 2015-09-21 12:45 j.a.tay(or rooV-11 772 468 8397 >> P 1/1
Planning&Development Services
Building&Code Regulation Division AU
* 2300 Virginia Avenue
UNTY Fort Pierce, FL 34982
--— — 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, "It'p ,licensed as dr1ngineer/Architect
(Please print name&circle license type) *FS4 ctor
*6enerol,8ullding,Residentl r Roofing Contractor or ony individual ccrtlJied under 468 F,S,to make such an inspection.
Qn or about 1 did personally Inspect the roof deck nailing
( ate)
work at; ,
(Job site ad ress)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 67.1 or the product approval submitted (whichever is
most strigent). n I
Signature'and Seal License#
STATE OF FLORI
COUNTY OF
Swor t subscr d efore ho is pens6nme this day of 20
by Wally know tome or who has produced
/� as Identification.
Notary fda�
Signature of Notary:
Commission Number; (Seal)
En 01/19/2011
.�r,�;""�;,,, I(AREN S. NIELSEN
m a my Cq mi i FF 115637
l My Commiaaion L-Kp403
N
June 12, 2018 �,v E� SEp•,�'�, '1�1