HomeMy WebLinkAboutRoof Inspection Affidavit 2016-06-14 13:17 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
Planning& Development Services
UP MBuilding&Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# VaDs— Qaal�;
licensed as a n Contractor*/Engineer/Architect
(Please print Arne&circle license type) *FS468 Building Inspector
General,Building,Residential or Roofing Contractor or any Individual certified under 468 F.S.to make such on inspection.
On or about Co' I did personally inspect the roof deck nailing
(Date)
work at: aSIO 4
(job si dress)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori fisting Building Code Section 61.1 or the product approval submitted(whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn t d rb rlbeo beff rcme this l 1^ day of 1SVC\-P20
bywho is personally known to me or who has produced
as Identification, —^
Notary Public,State of Fior
Signature of Notary: ������SPO\�E•••..9F����i�
Commission Number: O (Sem b SIpNA3y iI
En 01/19/2011 = •. '
���: NFF936Q50
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