HomeMy WebLinkAboutRoof Inspection Affidavit 2016-06-23 16:21 j .a.taylor roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
Y. �. , h 'C -WAPITIT Building&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
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print 6me&circle license type) *FS468 Building Inspector
'General,Building,Residential or Rooflna Contractor or any Individual certified under 468 FS.to make such an Inspection.
On or about �Q~ �3-1(-D , I did personally inspect the roof deck nailing
(Date)
workat: o� S� sc6--r— AVe i
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florl Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF V
Sworn;;o,�nd s}�bscrl of re me this �.� day of Ile 20�
by `I P- Who Is personally known to me or who has produced
as identifications
Notary Public,State of Flor d \��,pplttlltlpr���
Signature of Notary:
Commission Number; (Seal) ``� 153lON•••` �',
:•� 'Ob°rlSo•.
En 01/19/2011
NFF 936050
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