HomeMy WebLinkAboutRoof Inspection Affidavit 2016-01-26 13:04 j .a.tayl.or roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development services
E Building&Code Regulation Division
2300 Virginia Avenue
ICOUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ..
licensed as a(n) ontractopinspector/Engine
er/Architect
(Please print name&circle license type) *FS48 u
*General,Building,Residential or Roofing Contractor or any Individual certified under 468F.$.ro make such an Inspection.
On or about 1—Q(Q—1(e , I did personally inspect the roof deck nailing
(Date)
work at: r"Qn t P
lob 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). 4
Signature and Al w License#
STATE OF FLORI
COUNTY OF
Sworn to nd ubscrl d, efore me this, day of U 20_1.(p
by Who is p rs to me or who has produced
as Identification.
Notary Public,state of \``>>�►lllllflpl/��/r/
Signature of Notary: ��� g1NE Mfyy /iii
Commission Number;
en 01/19/2011
A� 6���`` 2 g 1016
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