HomeMy WebLinkAboutRoof Inspection Affidavit 2016-05-06 12:32 j .a.tayl,or roofing 772 468 8347 >> 7724626443 P 1/1
Planning& Development Services
•� .t µ: .. . 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# 1&6'-!'-0Q71
I'
'e- w - licensed as a(n)Contractor*/Engineer/Architect
(Please pr' t name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 F.S.to make such on Inspection.
On or about. — I did personally inspect the roof deck nailing
(Date)
work at-4p-!03 mance'el c Dr
(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
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF � \—V Cly
Sworn o nd ubI,bgf�b ore me this-_ day of 201
byy �e w�'` Who is per o c or who has produced
a \,,`Iltillll�llllq��
s Identification,
��1��Q��N•.•..;gF iii
o • 'Q9 ��
Notary Public,State of or � N�,o'•
Signature of Notary: ycg�,b�r'��� ,,.
Commission Number: O 0 (Seal) =*' �•� N t*_
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