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#
I, kA lf'a ri(A O L&WyLP, , licensed as a( Contractor* Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,.Building,.Residential or.Roofing contractor or any individual.certified_under 4.68.F.S..to.make.such.an.inspection-
On or about---� I did personally inspect the roof deck nailing
(Date) ry
work at: 4�1 q-3 r 71(ef-C-0- � p• 3Y/ YI
(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).
H"oam ojuoact",�-' CC G z3
Signature and Seal License #
STATE OF FLORI
COUNTY OF
SWoTQ to and subscribed beforerpe thisC��day of EC 20L6-
by Who is personally known to me or who as produced
as identification.
Notary Public,State of Flori
Signature of Notary:
CONNIE MCIVER
Commission Number: (Se
Notary Public-State of Florida
En 01/19/2011 My Comm.Expires Jul 29,2016
/ �,qfF Commission#EE 209535
Bonded Through National Notary Assn.