HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
$ m Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
I
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1605-0049
licensed as a(n)Contra ctor*/Engi nee r/A rch itect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 2' ~J ' , I did personally inspect the roof deck nailing
(Date)
kat: lozz j e-ffe- s BL
i (lob site address)
I '
Based upon that examination I have determined the installation was done according to the current
edit'on of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most Strig t).
'�'X'� 6�L"C)
Signature�r6d Seal License#
SYLVIA COLAIACOVO
•° .� Cammisston#FF 955374
My commission Expires
STATE OF FLORIDA `� w.�d it January 27. 2020
COUNTY OF�Z=U-d j-E unnsN
Sworn to and subscribed before me this day of 20
by Vg6 (z:' Who is or who has produced
i as identification. -
Notary Public,State o nda
Signature of Nota
Gmmission Ni ber-/-IFF- � j 7 (Seal)
En 01/18/2011
1
f