HomeMy WebLinkAboutRoof Inspection Affidavit 2016-05-26 13:45 j .a.tay(or roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 792-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
!, �l L�42. licensed as a(n)Contractor*/Engineer/Architect
(Please pri t name&circle license type) " 5468 6u ng nspector
*General,Building,Resldentiol or Roofing//Contractor or ony individual certlfled under 468 h5,to make such an inspection.
-6On or about ' Q&— I w , I did personally inspect the roof deck nailing
(Date)
work at: LIIE J Uro _czn L �G
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the or fisting Building Code Section 611 or the product approval submitted (whichever is
most strigent
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF S" LjG('-
Sworn t d 5 bscr'b be re me this day of !1 Q 2o�
by L Who is Lersonally known tome or who has produced
as Identification.
Notary Public,State of Flor'r �`, '�551p�;•�`ry��4
signature of Notary: c,Omoar rs •
Commission Number. 44)'� a
En 01/19/2011 :.61-.
NFF sasoso
GAN r�r
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