HomeMy WebLinkAboutInspection Docs 1110312015 09:51 All Area Roofinrk xlkr772 464 6600 P.0011001
Planning& Development Services
t...... ;!v`""" '"d Building&Code Regulation Division
•
2300 Virginia Avenue
,o Fort Pierce, Fl.34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# L &
1, Chat—ks ��,( ( , 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 468P.$.to make such an lnspectlon.
On or about�.���/ Ja��� , I did personally inspect the roof deck nailing
(Date) yy
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
mos stri nt).
AAA a d- 1(4
Signature and Seal License#
STATE OF FLOpt
�
COUNTY OF
5wo o and s bscri =remhis d of 20
by � t. o is personally known tom r who has produced
as identi ication.
Notary Public,State of Flor' N SOMA IDESTA>FNEY
Signature of Notary: L`� MY COMMISSION#FF125420 i
Commission Number: (Seal) aP 1=y,PIRES May 21.201sj
(407)399-0153 FlorlceNota ervice_cam f
>n 01/19/2011
RECEIVED NOV .03 201