HomeMy WebLinkAboutRoof Inspection Affidavit 2016-03-07 13:29 j .a. for roofing 772 468 8307 7724626443 P 1/1
111 Planning&Development Services
r Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
. Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#�l� a;
I, •2� licensed as n)Contractor /Engineer/Architect
(Please i6rint name&!circle license type) *FS468 Building inspector
*General,Building,Residential or Roofing Contractor or any lndlvldual terrified under 468 F.S.to make such an Inspection.
On or about 2> CP . l did personally inspect the roof deck nailing
(Date)
work at' J� ��D V>1� 'E'►�C�-�
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flor' ,6 i ing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
00 13 $�'
Signature and Seal License#
STATE OF FLORIDA `
COUNTY OF LSU CI'e—
Sworn t ndbs 1 d be ore me this_�day of CVt- 20 V O
by l 1 . Who is personally known to me or who has produced
as Identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: Seal)
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En 01/19/2011 ``������ \N�. �9�• �i��'
• TIFF 936050
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