HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
e Fort pierce,FL 34982
772-452-2165 or 772.462-2372
Fax;772«462#43
ROOF INSPECTION AFFIQ&y
Re: Permit#
1, licensed as a(n)Contractor'/Engineer/Architect
(Ple se print name&circle lice se type) 'FS468 Building inspector
Gene*Sull0ft Res/dentdal or Roofing Contractor or any individual cerGRed under W F.S.to mike such on lnspteow.
On or about /� I did personally inspect the roof deck nailing
.�/( te)
work at-. �CtJ � �,La
(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 Section 611 or the product approval submitted(whichever is
most strigent).
'7 QA
Signatur al License#
STATE OF FLORIDA
COUNTY OF SA7 L-Ut 1�
Sworn to and subscribed fore m this 20Y
by ►r» lM`1''`'� s personally know me or who has produced
as Id
Notary Public,State of Florida
Signature of Notary:
Commission Number:
En 01/12/2011 �Q` •• WIN,
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RECEIVED JUL 29.2016
ZO 3Jdd 80686VEZLL LT:EZ 9T2Z/8Z/L0