HomeMy WebLinkAboutInspection Docs 0411412016 12:39 ONSHORE ROOF' �3PECIALIST (FAX) P.0021002
Planning& Development Services
- � Building& Code Regulation Division
2300 Virginia Avenue
1i 4
P Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# b —Y4
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under468 F.S.to make such an inspection.
On or about '$\L�� Drzzq, . I did personally inspect the roof deck nailing
(Date)
work a � �•t� ►.� `C1� �2��C.�S� `��� .
(Job site address)
Based up at examination I have determined the installation was done according to the current
edition of he F ida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Si nature and Seal License#
STATE OF FL RIDA
COUNTY OF \\?J
Sworn to and sub crib bed before me this .�L� day of tl �-+�L Z0
bWho is pereaf nown a or who has produced
as idents ication.
Notary Public,State of F id
Signature of Notaw.
Commission Number: (Seal)
En 02/19/2011
Notary Pubsio"urate of Florida G
r f�C,
i ooT+ 25427
Commissioni{e5 ar3,2019
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c MY Comm. A
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