HomeMy WebLinkAboutRoof Inspection Affidavit RECEI HD P,','J 0 2 701
Planning& Development Services
Building& Code Regulation Division
2300 Virginia Avenue
4 0 Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
licensed as a( QCo .ca ;;n)gineer/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 �' �� ((a , I did personally inspect the roof deck nailing
(Date)
work at: 27 11 /U A !/..tr /atm d i E�
(Job site address)
Based upon t ex mination I have determined the installation was done according to the current
edition of t e Flor' xisting Building Code Section 611 or the product approval submitted (whichever is
most s i nt).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF h •LyC� �
Sworn to and subscribed before me thisday of J 20
by���J e h Ca��'o��t)�_. who-is—personally known me or who has produced
as lien icati.
Notary Public,Statyf Florida � A ra�VENs a
Signature of Notary � � �' ° �EA�yN State°t
mub, C. pec XF6�0."2p1
16
Commission Number: E)pOs
66616
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En 01/19/2011 rt<
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