HomeMy WebLinkAboutInspection Docs 0311612016 06:47 ONSHORE ROOFING SPECIALIST (FAX) P.0011001
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
-- - _ - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit : ' .
I,. licensed as a(n)Contractor*%Engin eer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about4'P1SC,.QDAc o_ =de . I did personally inspect the r of de^knailin
(Date)
work at::
(Job site ad ress)
Based upon t examination I have determined the installation was done according to the current
edition of the FI Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signatur and Seal License#
STATE OF FLO IDA
COUNTY OF
Sworn town u cribed before me this day of 20_& .
by.
1't.��\ . Who Is-ger pally known t me or who has produced
�. identific .
Notary Public,Stateof a
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 .�y",iYPu'�. SHREISS SCHWAS
s Notary Public.State of Florida
FF 20
5427Commission: o
isMY comm.Expires mar 3.
�{�a �� �3ic� � RECEIVED MAR 16 2016