HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
r Building&Code Regulation Division
CO' UNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT 1'E 'Li' 336
Re: Permit# 1609-0077
I, Larry Neese , licensed as a(n)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 9/25/2016 , I did personally inspect the roof deck nailing
(Date)
work at: 4555 Taylor Dairy Rd
(Job site address)
Based upo qat examinati have determined the installation was done according to the current
editio of the lorida E ' ting Building Code Section 611 or the product approval submitted (whichever is
mot strigen .
CCC1330608
Signatur nd Seal License#
STATE OF FLORIDA
COUNTY OF-Sk.
Sworn to and subscribed before me this a 3 day of F 20_\5,
by)--cs.t-ry QJ"'St Who is personally known to me or who has produced
as identification.
Notary Public,Stat f Florida
Signature of Notary: DFJ+NNAM IEG, S023
Commission Number: "sK�-� .1��� - ( MMISSION#G1bet 022023
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