HomeMy WebLinkAboutInspection Docs Planning& Development Services
'
Building&Code Regulation Division
�
_ F 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ®Oyu
I, �Gt�lna,�,�✓[� V /(�,.�oycq , licensed as a(n) ontractor /Engineer/Architect
(Please print name&circle license type) *FS468 ui t g nspector
' *General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about &a.-CA I did personally inspect the roof deck nailing
(Date)
work at: __��l� o��✓� 5
(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).
Signature and Seal License#
STATE OF FLOREgLdZ
COUNTY OF -� �f
Swor to and subscribed efo a this 1�3 day of 20/6by "��ersonally known to me o ho has produced
as identificat�io>��
Notary Public,State of FI a
Signature of Notary:
Commission Number: C (Seal)
En 01/19/2011
Notary Public State
of Florida �!'
Shine ��
My COMM.BeBmenderfgr
Expires 05/08/2018 196729 ��