HomeMy WebLinkAboutInspection Docs 0411412016 12:39 ONSHORE ROOFT-F;aPECIALIST (FAR) P.0011002
Planning& Development Services
_ Building&Code Regulation Division
2300 Virginia Avenue
� � r
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ' l d��oz�A(
licensed as a(n)Contra ctor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roafing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about NIL � p . I did personally inspect the roof deck nailing
(Date)
work at: u V -
( ob site address)
Base on that examination I have determined the installation was done according to the current
edit ia of the•Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most str nt). .
Signature an Seal License#
STATE OF FL.
RIDA
COUNTY OFZ
S—w—o�r -to and sub cribed before me this da 1 20
byC (_t t�eS��C\ . Who is rsonally known to m or who has produced
as identification.
Notary Public,State of Flo la
Signature of Notary-
Com rnission
otary-Commission Number: (Seal)
En 01/19/2011
p.,u,,,
SHREISS SCHWAB
4MeµYPLB!
Public-StatofNotary4 Commissfon#FF 205427" My Comm.Explras Mar 3,2019
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