HomeMy WebLinkAboutInspection Docs 2016-02-18 13:53 j.a.tayl.or roofing 772 468 8397 >> 7724626443 P 1/1
Planning& Development Services 1
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FIL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit, e {c
I, h 4 - licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 F.5.to make such on Inspection.
On or about 'A I did personally inspect the roof deck nailing
Patei
work at.,
� rlG�1QC1
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F Existi Building Code Section 611 or the product approval submitted (whichever Is
most strigent
X0,0-
Signat re and Seal License#
STATE OF FLORID �(1C�
COUNTY OF
Sworn to and subscribed fore me this .,day of 6'V 20�
by��/ �I W�'Lt�� , Who is personally_knnwmto me-q�who has produced
as Identification.
Notary Public,St late of Florida •
Signature of Notary; �HIINIIIII/
Commission Number; 3 `��"PaINE I������i,
En 01/19/2011 � ;� aember is�•�
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RECEIVED FEB 18 ?01