HomeMy WebLinkAboutInspection Docs 1110412015 16:49 All Area Roofirn !Fku)772 464 6600 P.0011001
Planning& Development Services
Building&Code Regulation Division
S 2300 Virginia Avenue
Fort Pierce, FL 34982
- 772-462.2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re, Permit# 15 11 - �Q b
I, C LOO 24 CL2� cxAn , 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 under 468 F.S.to make such an inspection. .
On or about �` �� , I did personally inspect the roof deck nailing
(Date)
work at: U S03 �br�L PUUT-9 ?)Wd
(lob 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
mos igent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
$wor to and subscribed before me this _day of 2019
by ersonalh, who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: NQS
Commission Number: (Seal) RECEIVED
En 01/19/2011
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