HomeMy WebLinkAboutInspection Docs (2) 0311612016 06:50 ONSHORE ROOFING SPECIALIST (FAX) P.001too 1
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
REGEIti"p MAR 16
Re: Permit#S�•
I, s 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.
Cin or aboutin�`' i zNko_!NnlZn . I did personally inspect the r of de k nailin
(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 Fic, Id Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signatur and Seal License#
STATE OF FLO IPA
,COUNTY OF
Sworn to an a cribed before me this klO day o 20 q
bye 11�.X5��1 . Who i er nally known me of who has produced
%idiec
Notary Public,State of a
Signature of Notary: -
Commission Number: (Seal)
En 01/19/2011 ,a"�"v'au'A�., SHREISS SCHWAB
< <
� .�'= Notary Public-State of Florida
.* Commission#FF 205427
My Comm.Expires Mar 3,2019