HomeMy WebLinkAboutBuilding Permit Application (2) yr _
Planning& Development Services
Q i Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 ,Q
ROOF INSPECTION AFFIDAVIT
0
Re: Permit# C L40
I, V, , licensed as a( Contracto /Engineer/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 —�J'k, Q . I did personally inspect the roof deck nailing
(Date)
work at: 56
(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).
Ka'j
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF S+ Lu-C' �-
rN
Sworn to and subscribed before me this 3 day of tk us+ 20
by Who is personally known to a or who has produced
as identification.
r
Notary Public,State of Florida
Signature of Notary:
Commission Number: E F 2 3 B 33 (Seal)
En 01/19/2011 �!'"• CASEY BINKLEY
MY COMMISSION 9 FF238332-
`'Y;'!a„ EXPIRES Au�usl 184?01p
tA0/�apf1B'CS VIaNd�Nnto'rt+�wba�wr. . -