HomeMy WebLinkAboutInspection Docs Planning& Development Services
-.e - Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED FEB 22 2016
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, !� licensed as a(n)Contractor*/Engineer/Architect
(Please pri4 name&c'.cl license type) *FS468 Building Inspector
*General,Building,Residential orr Roofing
�Contractor or any individual certified under 468 F.S.to make such an inspection.
C `
On or about ( -r Y� , I did personally inspect the roof deck nailing
/,,
(Date)
work at: (z3 Vrav
�
AdniAlt o sBase ion I ha a er"mined the installation was done according to the current
edition of the orida Existing Building Code Section 611 or the product approval submitted (whichever is
most gent .
S gnatu e a d a License#
STATE OF FLORIDA
COUNTY OF '58. 1.Uc +�
Sworn to and subscribed before me this day of 2016
by I f Who is personally known to me or who has produced
9 L as identification.
DEANNA GI�ENo Florida
Notary Public,State okFiorida Spat ec �g
Signature of Notary:
Commission Number:
� �• o�; 8 edZh�ou9h
En 01/19/2011