HomeMy WebLinkAboutInspection Docs i
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
o s Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# o
licensed asAL:Bui
tractor*/ ngineer/Architect
(Please print name&circle license type) t g nspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On Ir about 6-L( „ , I did personally inspect the roof deck nailing
(Date)
work at: 22 14 S • 31 2-
(
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the a Exi ting Building Code Section 611 or the product approval submitted (whichever is
most stdge t)
L�co.s��7� hoz
Signature and Seal License# —T
STATE OF FLORI _
COUNTY OF
Swor to and subscribed before me this day of 20
by�' 1/t°r�(',,dS1� h1& personal) o n to me or who has produced
as identification.
I
Notary Public,State of Florida �4� tim
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
AUDREYB.HUMPHREY
+= MY COMMISSION At FF 174772
EXPIRES:March 6,2019
Bonded Thru Notary public Underwriters
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