HomeMy WebLinkAboutroof inspection affidavit 09/29/2016 02:14 7723438308 PAGE 01
Planning& Development Services
" ' OE l Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772.462-2165 or 772-462-2172
Fax:772-462-6443
8QQE INSPECTION AFEMAVIT
• Z 1 S
Re: Permit#l U '0 3
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
General,Building,ltes/dentlal or Roo ing Contractor or any individual vertijied under 468 F.S.to make such an inspection.
an or about 0 yZ0 bb I did personally inspect the roof deck nailing
(Date) ,/)/J
work at: `� 1 �� i n cA
(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 strigent).
73j- --/� CG(, 13 3c)(9 T
Signatur d -- License#
STATE OF FLORIDA
COUNTY OF 'i
Swor to-and soscribed before a this ^day of 20�,
by r ���+�-O Who is personally known to me or who has produced
as4dotification,
Notary Public,State of Florida
Signature of Notary,
Commission Number. F�ORUN�r�'i�,�
sslOHal)�%
En 01/19/2011
#FF 122434
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RECEIVEp Stpr2 9,1016