HomeMy WebLinkAboutUntitled 08/22/2016 11:24 FAX 2001/001
Planning&Development Services
Building&Code Regulation Division
�iCOUNTY -A 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2272
Fax:772-462-6443
RQOF IN�PEOQN AFFIDAVIT
Re: Permit# k hoo —040q
I, ��n.,".n �,..at`S�►�_ licensed as (n)Contraetrar'" ngineer/Architect
(Please~pAt name&circle license type) F ctor
*General,Building,Residential �Cqqrracrr any individual certified under 468 F.S.to make such an inspection.
On or about LSAA 42 1 did personally inspect the roof deck rnailinit
(Date) a //
work at: LILA_
(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 trigent).
GGLCg& -7_71l�
re and Seal License#
STATE OF FLORID
COUNTY OF u�
Sworn to and subscribetbefore me this day of A, ZDV"
by V1 'At Who is personally known toAe or who has produced
L D as identification.
Notary Public,State of Florid
Signature of Notary: Z14G 94L��
Commission Number; (Seal)
En 01/19/2411
b _ ) NANCY J,GHA
Notary Pubilc-State of Florlda
c My comm.Expires QCt 19,2017
commission#FF 055894
!�''•1„;�;��`� ponded Through Nallonal Notary Assn.