HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
RECEIVED MAY 17 ���
Re: Permit#
I, Jamie Cisco 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.S.to make such an inspection.
On or about • 1 -'x I It I did personally inspect the roof deck nailing?
(Dale)
work at: Vg-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition f the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most r gent).
CCC1327796
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF Martin
Sworn to and subscribed before me this i'1j� day of 201LO
by Jamie Cisco . Who is pers y�to m r who has produced
as identification.
Notary Public,State of Flo i
Signature of Notary: L �ka z)
Commission Number: FF 1199 (Seal)
En 01/19/2011
ALYSS HAMPTON
Notary Public-State of Florida
Commi`ssion N FF 119908
My Comm.Expires Jul 18.2018