HomeMy WebLinkAboutInspection Docs 2015-10-02'; 13:10 j.a.tay!'-^ roofing 772 468 8397 a!-. P 1/1
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Planning&Development Services
Building&.Code Regulation Division
+ 2300 Virginia Avenue
Fort Pierce, FL 34982
-- -- - 772-4622165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re. Permit#
I, /1/0 f p, �i, � ^„ licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Redden l or RooJing Contractor or any Individual cerrVied under 468 F.S.to make Such an Inspect/on,
On or about I did personally inspect the roof deck nailing
(Date)
work at.
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent)"
Ile
1°s
Signature and Seal License#
STATE OF FLORI
Co1UNTY OF ze,Le
Sworn o d subs r by before me this dayzj__20-5
by / Who is Ners ally known to me or who has produced
as Iden ification.
No aryP ecfFo /
Signature o ry:
Coil mission Number: (Seal)
En 0111912011 "�''%"''�,, KAREN S. NIELSEN
a� `"z COMMIS Sian It FF 116637
My Commission Cupires RECEIVED OCT 02 2015
June 12, 2018