HomeMy WebLinkAboutRoof Inspection Affidavit 0412212016 07:28 ONSHORE ROOFING SPECIALIST (FAX) P.0011001
Planning& Development Services
x
Building&Code Regulation Division
2300 Virginia-Avenue
. Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# C �E(o
oJlicensed 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--(-A-T,)A xn I did personally inspect the roof deck nailing
(Date)
work at:
(� (Job site address)
35 'n-6,3,
Based upon that examination I have determined the installation was done according to the current
edition th orida Existing Building Code Section 611 or the product approval submitted(whichever is
most strigen
�°- \ 'V'-"9Qccs
ignature a)See License#
STATE DF FLOCOUNTI OF
Sworn to and subs ribed before rqe this day of 20,16
by�--ST 4k Who na me or who has produced
as idbr4fication.
Notary Public,State I ida h
Signature of Notary.
C N
Commission Number: (Seal)
En 01/19/2011
F. �Pie
SHPEISS Sr )t
e =z° ¢°s i a Public-State at FiorEd
wNct ry
Gommission�FF 205:27 !�
oFF`Vo`. Mp Comm Expires Mar 3.20`19