HomeMy WebLinkAboutInspection Docs 2016-06-15 12:58 j.a.tayl.or roofing 772 468 8397 >> 7724626443 P 1/1
- Planning& Development Services
Building&Code Regulation Division
* 2300 Virginia Avenue
Fort Pierce, Fl.34982
772.462-2165 or 772-462-2 .72
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit##
r
I, licensed as e(n)Contractor*/Engineer/Architect
(Please print Aame&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any Individual certified under 468 AS,to make such an Inspection.
On or about &�- I did personally inspect the roof deck nailing
(Date)
workat:
(Job site address)
Based upon that examination I have determined the Installation was done according to the current
editionof the FI fisting Building Code Section 611 or the product approval submitted (whichever is
most strigen
Signature and Seal License#
T
STATE OF FLORIDA ( (
COUNTY OF �T UcJ-k-,
Sworn t ` 'P— Who
of re me this�_day of U KL 20��Q
by (�� Who is personally known to me or who has produced
as Identification,
Notary Public,State of Florid ��d�11�111i�114U�/
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 -*` �•�. ;
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