HomeMy WebLinkAboutRoof Inspection Affidavit 2016-03-21 14:17 i .e.tWor .7-71f ing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
"MW, Building&Code Regulation Division
' COUNTY 44"�' 2300 Virginia Avenue
F L 0 R I D A Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax, 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ](OCQ-a�jq
I,— Y-"A-p IaL . licensed as o(n)Contractor*/Engineer/Architect
(Please prini 4me&circle license type) MFS4-68'Building inspector
*General,Guilding,Residential or Roafty Contractor or any Individual certWed under 468 FS,tomakesuch aninspection.
On or about--� /Q I I 1 (0 1 did personally inspect the roof deck nailing
(Ddte) / '.
work at: LIS 4k CN �S V e 0-(c
(Job site address)
Based po n that ex .nation I have determined the installation was done according to the current
editionuof�he Flo xisti g Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ZtL V tk-,P�
Sworn t d b lb4foremethis ';L� dayof �46-�-ra--6-20A-(p
by_ Lte.
Who is personally known to me or who has produced
as IdentiflMilon.
Notary Public,State of F r
Signature of Notary.-_
CommIssion Number;
®R 2P
5n(11/1912011
RFF936050
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