HomeMy WebLinkAboutRoof Inspection Affidavit 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 INSPECTION AFFIDAVIT
Re: Permit# ��7
I, 5 �;.5S�OaJ(jn,4W , licensed as a( Contractor*/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 I did personally inspect the roof deck nail M
(Date)
workat: 51�;-(kp &A- GL W-- PSCC
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th o da 'sting Building Code Section 611 or the product approval submitted (whichever is
most stri t).
CG 57S-5--7tq
Signature and Seal License#
STATE OF FLORIDA
�h. -
COU NTY O F
Swo to and subs c 'bed before me this / ( • day of 20/ G
b Who is person y known t me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
�;�•".'Py AUDREY B.HUMPHREY
MY COMMISSION#FF 174772
EXPIRES:March 6,2019
" Banded Thru Notary Public Underwi tens
Pie,