HomeMy WebLinkAboutRoof Inspection Affidavit 14.v
Planning& Development Services
Na M.
Building&Code Regulation Division
2300 Virginia Avenue
$ , A Fort Pierce, FI.34982
....... a . ,:--r:,»,,,.,,,,., 772-462-2165 or 772-452-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#—/J
1, 1V&a/AEL_ J licensed as a(n), antracto /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*Generol,Building,Residential or/Roofing Contractor or any individual certified under 468 F.5.to make such an inspection,
On or about q , I did personally inspect the roof deck nailing
(Date)
work at: !$ SE, i4 l.'.-T`.
(Job site address)
Based upon that examination i have determined the installation was done according to the current
edition of the Florida Existing Ing Code Section 611 or the product approval submitted (whichever is
most strigent).
Sin ure and Seal License#
STATE OF FLOR1100j rXLZ�
COUNTY OF ��
Sworn to and subscribed before me this 2,day of—` 20J�;
byC. tc,�(�),rgi ,(kwho is personally known to me or who has produced
as identification.
Notary Public,State of F I / i /j NDRMA M MU
signature of Notary:_�/ (f� � _ �/V
Commission Number:, MYCOMMMM#MI9'
50
>iXP!{3E$deetue�y�.2Q1(�
En 01/19/2011 aoaataa
RECEIVED SEP' 24 2015