HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a(n)Contractor*/Engineer/Architect
(Please print n me&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
0n or about I did personally inspect the roof deck nailing
(Date)
work at: �17U�,
(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 strigent). C3C /ds�gcc�
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sw n to and su cribed before met ' day of 20 ^t _
b ri bnally known to me or who has produced
as ide ' ication. �I
a'�Tc{a
Notary Public,State of Florida
Signature of Notary: .uM
Commission Number: (Seal) M �o
91
M.
w Z C
F' T-n S
En 01/19/2011
A
�N