HomeMy WebLinkAboutRoof Inspection Affadavit 2015-11-02 13:40 j.a.taylo - .' ofing 772 468 8397 >> r� 7724626443 P 1/1
_ Planning&Development Services
Building&Code Regulation Division
iUNTY 2300 Virginia Avenue
Fort Pierce,FI.34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
+ A`� ^(V1b fn- l (3F' "a� ROOF INSPECTION AFFIDAVIT
mom c le+,,r v3e btye , ner,4
pee+jom Cry loe 5c;W01
Re: Permit#
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Resldentlal or Roofing Contractor or any Individual certlfled under 468 F,S,to make such an Inspection.
on or about ! ��01.~ , I did personally inspect the roof deck nailing
(Date) r('-C�e-C�1 -
ra
419
workat: )ag �����1 Q l�, �-- `C
1 �'C
(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). n
I �("I -
Signature 9d Seal License# .
STATE OF FI.O A
COUNTY OF UL
Sworn to and su scft d—before me this g—day of O 2o�
by 1t Who onall kno—V153b me or who has produced
as Iden
Notary Public,State of FI Ida ���\111lllllill�jl"
Signature of Notary: ���������p�LpN
Commission Number: (Seal)
En 01/19/2011 •,« =�+
BLI
lllflll11�1ti1
RECEIVED NOV 0"12015 O/