HomeMy WebLinkAboutRoof Inspection Affidavit 2016=03-21 14:22 1.a.tayLor 772 468 8397 >> _ 7724626443 P 1/1
Planning&Development Services
Building&Cade Regulation Division
COUNTY
2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772.462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permiit/# 10C).
licensed as a Cont�injgzrnspector
Engineer/Architect
(Please print name&circle license type) "'F$ u�
*General,Building,Residential or R offing Contractor or any Individual cerrlfled under 468 F.S.to make such on Inspection.
On or about ) la� 1 did personally inspect the roof deck nailing
(Date)
workat:
(Job site address)
Based upon tha ination i have determined the installation was done according to the current
edition of the o ' a Existing Building Code Section 611 or the product approval submitted (whichever is
most strige
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF k-e—
swot Msub cr d efora-�e me this day of Eq )
� &"CA's 20�
by . Who is Reersonally known to me or who has produced
i as Identification. -
Notary Public,SI ate of Florida
Signature of Notary;
Commission Number;
\.��p� gF�F9•,�
En 01/19/2011 GOA IFMA.•
NFF 936050 4
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REC