HomeMy WebLinkAboutRoof Inspection Affidavit 2016-05-26 19:36 j .a.tayl,or roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
11 Building&Code Regulation Division
2300 Virginia Avenue
F L 0 Fort Pierce, FL 34982
L 772-462-2165 or 772.462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a(n)Contractor*/Engineer/Architect
(Please print nailne&circle license type) OFS468 Building inspector
*General,Building,Residential or Roofing Contractor or any individual certified under'4GSF.S.to make such an Inspection.
On or about ''cam, I did personally Inspect the roof deck nailing
(Date)
workat: L407'a
(job site address)
Based upon that exa I tion 1, have determined the installation was done according to the current
n
edition of the Flor* 'sting Building Code Section 611 or the product approval submitted(whichever is
n
most strigent.)-._
Signature and Seal License#
STATE OF FLO RI DA ,n I
COUNTY OF 'p—
Sworn W an *z�!this QK0 day of a&z�-20
by Who is personally known to me lor who has produced
as identification.
�,�01 V/
Notary Public,State of Florid 6/JL��
Signature of Notary;
Commission Number; (Se Iss,
En 01/19/2011 1. #FF 936050
00
RECEIVED MAY.2 6 20I6