HomeMy WebLinkAboutInspection Docs _ Planning& Development Services
y- t Building& Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
____ _ Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1 O r V5
I, A—sN1i 1. ACAaj . licensed as a(n)Contractor*/Engineer/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 about f—(-3— lb , I did personally inspect the roof deck nailing
(Date)
work at: &teoZ
(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).
& !2 672
Signature and Seal License#
STATE OF FLORI A
COUNTY OF
5oLr' to a d subs rib d before me this_Q S day of 20 It
by ��C((� 1� �� Nn. Who is personally known to me or who has produced
as i entification.
Notary bblit, of lori 1
Signatue
Commission Number: (Seal)
En 01/19/2011
KAREN S. NIELSEN
_N
Commission# FF 115637
arc My Commission Expires
�':;F°•F� June 12, 2018