HomeMy WebLinkAboutRoof Inspection Affidavit 2016-02-11 15:12 j.a.taylor roofing 772 468 8347 >> 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# 0cp l WO
I, d�P-- licensed as a(n)Contractor*/Engineer/Architect
(Please prin name&circle license type) *FS468 Building Inspector
*General,Bulldina,Residential or Roofing Contractor or any Individual eertJf ed under 468 F.S.to make such an Inspection.
On or about . " R0 . I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address
Based upon that mi on i determined the installation was done according to the current
edition of the F or' istin ilding Code Section 611 or the product approval submitted (whichever is
most strigen
Signature and Seal License#
STATE OF FLORIDA ll
COUNTY OF 7• 0 0 I-e,
Sworn ton s bs irjbed before me this day of �rle u& 2011?
by . Who is personally known to me o who has produced
as Identification.
NotDry
ublic,State
Signature of Notary:-
af (� a �:`` NEsr �����/
Commission Number: (Seal)
En 01/19/2011
RECEIVED FEB 112016