HomeMy WebLinkAboutInspection Docs Oct 191509:01a Restorsurance S f- +^,es 321-4.45-5593 p.1
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�1:tePlanning&Development Services
Building Regulation Division
� � I g&Code
9
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#�
I, n tAN PeA- Of fY N\ licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractoror any individual certified under 468 F.S.to make such on inspection.
On or about I ID -1 1 ~% S� , 1 did personally inspect the roof deck nailing
(Date)
work at:_ -��Q�o S QSOt� �A)
(Job site address)
Based upon th ,e ination I have determined the installation was done according to the current
edition of ;Existing Building Code Section 611 or the product approval submitted (whichever is
most stri
rcz
��..�(IgWature and Seal License#
STATE OF FLORIDA
COUNTYOF.
Swot and ubscri bef�r meth' day of 20/J
by i ho is personally known to me or who has produced
as identification.
Notary Public,State of FI 'da
Signature of Notary:
Commission Num F (Seal)
i
En 01/19/2011 Joseph Eeerud Art�
NOTARY PUBLIC RECEIVED
STATE OF FlAR1OA
CaTao FF141M
Expires&rJWOiB OCT 19 2015