HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
� 5
2300 Virginia Avenue
� � Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# ti d 3 3
I, S�. ' i��.l STur - , licenseds a(n)Contractor* ngineer/Architect
(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 '7—Uct— L6 , I did personally inspect the roof deck nailing
(Date)
work at: AV--f -f/1 t i ct-YZtA�
(Job site address)
Based upneF1
xa tion I have determined the installation was done according to the current
edition a ftis ing Building Code Section 611 or the product approval submitted (whichever is
most s gen )
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF t!�VAA�_
Swrn to and subscribed before me this ��day of 20
by Who is personally knov4A tom r who has produced
')9S•QI.MA Q as identification.
Notary Public,Stat f Flo a
Signature of Not ry:
Commission Num er: (Seal)
En 01/19/2011
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'2 ° Commiss'loo`3#��alNolarY Assn•