HomeMy WebLinkAboutInspection Docs From:Robert Coll azo Fax:(352)668-4803 To: Fax: +1(772)462-6443 Page 1 of 1 02111/2016 11:42 AM
Planning& Development Services
�` 1 Building&Code Regulation Division
® 2300 Virginia Avenue
a Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Per,
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
`General,Building,Residential or Roofing Contractor or onyindividuol certified under468F.S.to make such an inspection.
On or about .2 �� , I did personally inspect the roof deck nailing
(Daie)
work at. q(,00 l,—) mCi.. "-o—\r)WLS
(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).
(/2 W C—CCILo (o_
Signature and Se'al License#
I
I
STATE OF FLM/A
COUNTY OF��-_yy} p ��
Swor o anq subscri1b�d before me this 1 day of e200
byC�sb Yl t�1e 11`�n�Alho is personally known to or who has produced
as identification.
CYNTHIAA•DYAL
Notary Public,StateCF�IVNQ�k
— s�Y AUS ' NOTARY PUBLIC
Signature of Notary: STATE OF FLORIDA
Commission Number: {5 &FIe Comm#1_E195094
axp,ros aIW2016
En 01/19/2011 C q
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