HomeMy WebLinkAboutRoof Inspection Affidavit 7- ,.
Planning& Development Services
�a ,_. � ,� l Building&Code Regulation Division
2300 Virginia Avenue
* Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# C lb-0
I, licensed as a(n)Contractor*/Engineer/Architect
(Please print 6ame&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 P—`/--� G} lj� , I did personally inspect the roof deck nailing
(Date)
paa l C h � "
work at: �' ( "-V //G /r!S
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edon'of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
molls t).
ignature and Seal License#
STATE OF FLORI
C06 NTY OF
Sworn to and subscribed before me this day of 20
by 4 NV4 0 AA/ GJQO:who is person nown me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
REC .`
4 '+"oy'o.,, AUDREY B.HUMPHREY AUG
"; MY COMMISSION 4 FF 174772
EXPIRES:March 6,2019
d''P Bonded Thru Notary Pubric underwriters
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