HomeMy WebLinkAboutInspection Docs 2016-03-31 12:53 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
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
Re: Permit#
1, l Wylt,�•e- licensed as a(n)Contraetor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Indlvldual certlfled under 468 F,S,to make such an Inspection;
On or about S a t" VP , I did personally inspect the roof deck nailing
(Date)
work at: Q.Y1y£7- �, ` • �rC(`'c��
(Job slte address)
Based upon that examin tion I have determined the installation was done according to the current
edition of the Florida xi ing Building Code Section 611 or the product approval submitted (whichever is
most strigent),
LU, L3—&S 3176
Signature and Seal License#
STATE OF FLORIDA ( `
COUNTY OF
Sworn to nd sub cribQdof a me this day of CZS''C-( 2D-jC,4�
by 'W Who Is personally known tome or who has produced
as IdentlflGdtion,
Notary Public,State of Florida
Signature of Notary: ' ••;�tgslpy'•
Commission Number: (Seal) _ ;VD�or rs
En 01/19/2011 -'k• "' N•'�`
#FF 9360$0
STA��Q�
t',fill%%
RECEIVED MAR.3.1 ?M