HomeMy WebLinkAboutInspection Docs 2016-05-12 13:22 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
Planning& Development Services
µ _l �i �• . - �, Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-46Z-2165 or 772.462-2172
Fax: 772-462.6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# --(0' '3>
PI, licensed as a(n)Co ntractor*/E ngi nee r/Architect
(Please print name&circle license type) 'FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468FS,to make such an inspection.
On or about d� , I did personally inspect the roof deck nailin
(Date)
work at:_ j 1 � S-Tri i a.+R
(Job site address)
Based upon that examinati 1 have determined the installation was done according to the current
edition of the Florid isti Building Code Section 611 or the product approval submitted(whichever is
most strigent .
Signature and Seal license#
STATE OF FLORIDA
COUNTY OF_ - A Loom ,
Swor t and ubscri c Ipefo a me this �a day of 20�
by l Who Is personally known tome or who has produced
as Identification.
Notary Public,State of Florid �����HIIIIlIlb1!!
Signature of Notary: \��� `�yE
Commission Number: ti�� �•SSIp' * 9i
y :• G
•4 D er!S{,a
En 01/19/2011 Z �`
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RECEIVED MAY 11 1016