HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
410
Fort Pierce, FL 34982
--- - — - 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#s'LG )(003- CO2g1
licensed as a( Contractor ngineer/Architect
(Please print name&circle license type) *FS468 Buil ing Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about lq I did personally inspect the roof deck nailing;
(Date)
work at:��li -�)5 fes/(S STI2�STT lC�
(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
M7t
C(a- I t l
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ST L.Uc I F—
Swor to and subscribed before me this _day of fb l��H- 201f.,by Who is personally known to me or who has produced
as identi kation.
D
Notary Public,State of r'
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
RECEIVE®
CHRISTAL SIERRA FIa MAR 2 2016
. Nfty pow-6me of ma
CONIftIM#FF 245M
W COM.-EMIM M 18,2019