HomeMy WebLinkAboutRoof Inspection Affidavit 2016-09-14 13:48 j.a.tayl.or roofing 772 468 8397 >> 7724626443 P 1/1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL 34982
772.462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPEMON AFFIDAVIT RECEIVED
SEP 14 2016
Ret Permit#
i, t licensed as a(n)Contractor*/Engineer/Architect
(Please"pr!4 name&circle license type) *ES468 Building inspector
*General Building,Residential or Roofing contractor or any individual eertlfled under 468 F.S.to make such an Inspection,
On or about I did personally Inspect the roof deck nailing
(Date) (�
work at: �1,
(Job site address)
Based upon that examinatio I have determined the installatio i was done according to the current
edition of the Existl Building Code Section 611 or the product approval submitted(whichever is
most stri
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF , UCA-EL
Sworn to and ubscr b b re me this day of �" I 20L(,P
by—, Who Who Is personally known tome or who has produced
`��iiislrrlr;
as identification,
Notary Public,State of F
Signature of Notary;
Commission Number; (seat) *: �•+ ti
AFF
w
En 01/39/2011RECEIV
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SEP 14 2016