HomeMy WebLinkAboutInspection Docs From:Richard Newland Fax:(866)610-8652 To: Fax: +1 (772)4626443 Page 2 of 2 0611912016 9:43 PM
Planning& Development Services
t�
Building&Code Regulation Division
2300 Virginia Avenue
., Fort Pierce, FL 34982
:.::....::,:::::...:;:.:::::::. 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# mo
licensed a a,(n ontra os */Engineer/Architect
(Please print name&circle license type) *FS4 ui rng Inspector
*Generaf,Building,Residential or Roofingg Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 1'7- �" 1 did personally inspect the roof deck nailing
(Date)
work at: CJ ✓�-° ' �� v`� "
(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 Sectfon 611 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY of
Sworn to and subscribed before me this / day of Ct-I 2Ozt-
�� &- w O
by / ys�e+sr�wn to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (seal) aGa� r "s1 Bo�IL'N
��'— ;% My 00,1:rhiSS1011-IE£883700
` FXi'IR�S:IdAA13.2017
En 01/19/2011 ��"< 9or-d t:iex+ph?s4 St2fa IsuriCe
RECEIVED JUN-2 02016