HomeMy WebLinkAboutRoof Inspection Affidavit 2016-05-09 12:53 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, Fl.34982
772-462-2165 or 772-462-2172
Fax:777-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
L licensed as a(n)Contractor*/Engineer/Architect
(Please prin name&circle license type) *FS468 Building Inspector
'"General,Building,Resident/al or Roofing Contractor or any Individual certified under 468 FS.to make such on Inspection.
On or about !,S —9— ��P ,l did personally inspect the roof deck nailing
(Date)
work at: �q 2 qQ
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori xisting Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA 1
COUNTY OF
Sworn t nd ubscribqd bpfor -
we me this "'1 day of 20
by .lt"e Who Is personally known to mh or who has produced
as Identification. \`\�pjo%DINEI.p Nil,
Notary Public,State o to a
Signature of Notary, .•'.4w%Ober 4
Commission Number: ��
En 01/19/2011 fq��98605p ;t
• '�1tdt�N �'�
RECEIVED Mnv 09.2016