HomeMy WebLinkAboutRoof Inspection Affidavit 2016-05-06 12:32 j .a.taylor roofing 772 468 8347 >> 7724626443 P 1/1
Planning&Development Services
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#
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 ding Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 F.S.to make such on Inspection.
On or about 6 ^(-e" , I did personally inspect the roof deck nailing
(Date) _
work at: -! a n a r
(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 strlgent
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF \_U
Sworn o nd f ub ib b pre me this_� day of,� 20l
by L/! l who is ptusZaa2y kDzu=o nic or who has produced 00 1111110/y
as Identification, � / ����'�
Notary Public,State of or �c$ oft 14- oW'
Signature of Notary:
Commission Number. (Seal)
AFF 93$0$0
En 01/19/2011 t'y •. '.•' ,�