HomeMy WebLinkAboutRoof Inspection Affidavit 2016-03-22 13:41 j.a.taylor , "`fing 772 468 8397 >> - 7724626443 P 1/1
Planning&Development Services
Building&Code Regulation Division
* UNTY !I 2300 Virginia Avenue
* Fort Pierce,FL 34982
772.462.2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1600 a`* 030'�'
licensed as a( )Contractor'"/Engineer/architect
(Please print ame&circle license type) "FS4 ' Inspector
*General,Building,Residential or Rooflno Contractor or any individual certlfled under468 FSS.to make such an inspection.
on or about -5 a'a 11 CO I did personally inspect the roof deck nailing
(Date)
work at: off`Ds — .
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th I ride Existing Building Code Section 611 or the product approval submitted (whichever is
most strige t
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 4UC.(1f,
Sworn t a d ub r dr efore me this day of 201(-P
by Who Is Ursonativ known to me or who has produced
as identification:
Notary Public,State of Flo ,����111flftlp174'
-Signature of Notary: 1NE MaVq�4,,�
Commission Number: alb: �M►sSlQy•.�+E�
En 01/19/2011 _ � G "; a
• �bd IhN .per:
:���'/,fie•�y�, ;�Q,`1`ti
RECEIVED MAR-22 2l)1F