HomeMy WebLinkAboutUntitledInspection Docs 0910912015 17:12 ONSHORE ROOFING SPECIALIST (FAX) P.0011001
Planning& Development Services
Building& Code Regulation Division
Y
— 2300 Virginia Avenue
8 p Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462--6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# lip C�uL�"'l
I,...�Q�cL\t.�S�\ , licensed as a ontracto /Engineer/Architect
(Please print name&circle license type) *FS4 Wilding Inspector
*Generol,_Building,:ResidentialorRoofingContradoror,.any_individuQLcertifed_under_468.FS.,tomokesuch oninspectlon.... ,_..r._,._:._ . ..
On or about (::It -kt-\ l� , I did personally inspect t e roof deck nailing
(Date)
work at 0 `5 �
(Job site ad cess)
d upon that examination I have determined the installation was done according to the current
edits a Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most st ' ent .
USignaturelLicense#
STATE OF FLO IDA
COUNTY OF
Sworn to and ubsc ibed before me this day 20
byWhspero ally known t me or who has produced
as identification.
Notary Public,State of FI ri a'
Signature of Notary: `
Commission Number:_ Er Z c�5'c-/Z 7 (Seal)
En 01/19/2011
SHREISS%HWAB
° Notary Public-State of Florida
Commisslon#FF 205427
, ,. My Comm.Expires Mar 3,2019 RECEIVED SEP 1-1. 2015
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