HomeMy WebLinkAboutInspection Docs 03/16/16 08:44AM capps 7725464606 Page 1
Planning&Development Services
W y = Building&Code Regulation Division
2300 Virginia Avenue
11 ME Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# • -L W- 0
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle i ense 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 about }P 1 did personally inspect the roof deck nailing
(Date').
work at: / 7 4'�-64-� ,';7
(Job site address) 3�jlC
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Cotte Section 611 or the product approval submitted(whichever is
most strigent).
Signature and Seal Pr License#
STATE OF FLORIDA
COUNTY OF
Sworn to a°dsu wiped ore me this (A.. '.-L
byWho is personally known to me or who has produced
as identification.
Notary Public,State of Fiori
Signature of Notary: i`•
Commission Number: (Seal)
En 01/19/2011
ROY FRAMPTON
MY COMMISSION E FF186186
EXPIRES:JWWy 08,2019
RECEIVED MAR 1� 1016