HomeMy WebLinkAboutInspection Docs 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 'QFt8// \
ROOF INSPECTION AFFIDAVIT ✓�y
70
Re: Permit# `909 OOS
I, 2 oar.c-cA (i�`l�-�c . licensed as a( Contracto /Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residentialor Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about l — �Q— 30k Lo . I did personally inspect the roof deck nailing
(Date) n
work at• �5�(7 1 sro r-Ir p;,zrc-e_ �R�tgoS. ';7nc 4
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
�" "'t� a`t(�
Signature and Seal License# X
STATE OF FLORIDA
COUNTY OF `z+•
Sworn to and subsibed before me this + day of 20_L6
by 'R�C_ha r� Co I I eWho is personally known to me or who has produced
as identi ication.
1
Notary Public,State of Flopa
a
Signature of Notary: 1 J ; ``"LiN-.- CASEY BINKLEY
'i MY COMMISSION#FF23M;7
Commission Number: F'F 3 3 3 3 (Sea :?� a
EXPIRES Augusl16,2Qj6
En 01/19/2011 -
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