HomeMy WebLinkAboutInspection Docs 2016-01-12 13:07 j.a.tayl,or roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
,. Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Ha o t'lid( �D
I, licensed as a(n)Contractor*/Engineer/Architect
(Please pri t name&circle license type) *F5468 Building inspector
"`General,9u!lding,Residential or Rooting Contractor or any Individual terrified under 468 F.S,to make such an Inspection.
On or about I~ /�)-" 1(0 . I did personally inspect the roof deck nailing
(Date)
work at: —z�'N—7 0c . r
(Job site' address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existina Building Code Section 611 or the product approval submitted(whichever is
most strigent).
Signature and Sea[ License#
STATE OF FLORID
COUNTY OF • UC(
Sworn o an subscrl ad efore me this day of 201j(,,p -
by . Who is plersonally known to me gr who has produced
as Identification.
Notary \\�\1111 t 1 i 11 l 11/l�j/i
Signature of Notate o Flori ����+0�. qct`////x
•' 15sI0p'=`
Commission Number; C� (Se3m °rrs °•: ''
En 01/X9/2011 * FFssa050� :� EIVEp .IAN 1`2 �01�
1
RECEIVEI)