HomeMy WebLinkAboutInspection Docs Apr 29 16,09:48a p.1
Planning & Development Services
Building &Code Regulation Division
O 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#& - (02�R _
1, QxT\W licensed 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_5.to make such an inspection.
On or about + 2Q' 1( 1 did personally inspect the roof deck nailing.
(Date)
work at: 3�Q t Vl)-s 931Ca dL X1 f-6-
(Job
-6-(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# �
pQ��9
STATE OF FLORIDA
COUNTY OF 4A C_tQ.
Sworn to and subscribed before me this rZ7 f die
by UL-L If t'nLLOM o is personally known to rn r who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
SONIA DESTAFNEY
MY COMMISSION#iFF12542.0
EXPIRES May 21, 2018
(407)398-0153 FloadallotaryService.com