HomeMy WebLinkAboutRoof Inspection Affidavit 2016-04-05 14:45 1.a.taylor roofing 772 468 8347 » 7724626443 P 1/1
Planning&Development Services
�•� z� Building&Code Regulation Division
2300 Virginia Avenue
ICOUNTY -A& Fort Pierce, FL 34982
772-462-2165 or 772-4622172
Fax: 772-462-6443
RQ- -QF INSPECTION AFFIDAVIT
Re: Permit#,1&03"0s !�-
I, licensed as a(n)Contractor*/Engineer/Architect
(Please printiname&circle license type) *FS468 Building Inspector
*General,Building,Residential or Rooft Contractor or any Individual cerrtjled under 468 AS,to make such on lnspectlon.
On or about Lq-5 , 1 did personally inspect the roof deck nailing
(Date)
work at: '� pl-erce
Oo slte address)
Based upon that exa tion I have determined the installation was done according to the current
edition of the Flor' a Ing Building Code Section 611 or the product approval submitted(whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF_�" L Lei p
SwornItanlubsc b fore me this day of%by e/ 'e- ? . Apct
Whiserg,sonallvko tp me or who has produced
as identification. ,o`��N0%11111111111 Iff�yi
�� g% SRF
Notary Public,State of
Signature of Notary. 21L �*fir
Commission Number. ' (Seal) E*
En 01/19/2011 AFF9300
l ii lilQ�
(RECEIVED APR 05 2016