HomeMy WebLinkAboutRoof Inspection Affidavit 0511612016 07:53 All Area Roofing Q:AX)772 464 6600 P.0011001
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#
i, 0-h, artesP,Ch"S licensed as a(n)(gjjrttrac */Englneer/Architernt
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 463 F.S.tomake such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: 310all ed, r4' Lax-'a
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing BuIldin Code Section 611 or the product approval submitted (whichever is
most s 0.
t/Signature and Seal License#
STATE OF FLORIDA
COUNTY0F
subscribed Swor o and s efore met is jt day01 QAA 20
byj/
'W personally known�tW or who has produced
as identification.
Notary Public,State of FI
Signature of Notary:,
Commission Number'---) (Seal)
En 01/19/2011
MOVER 013ERT
MY COMMISSION#EE 2150
AEXPIRES:Novemter 12,20 10
Woe 5=WT1W&j*N6fWyser k�