HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT 10/12/16 09:02AM capps 7725464606 Page 1
Planning P&Development Services
_ j_ Building&Code Regulation Division
2300 Virginia Avenue
>, Fort Pierce,FL 34982
772-462 2165 or 2-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
1, . �7�� � , 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 ( O I did personally inspect the roof deck nailing
(Date)
work at'. � (Vel-
(Job
site address)
# 3 "�
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).
CCC
gnature and Sea{ License#
STATE OF FLORIDA
' COUNTY OF /M`-4_te
Sworn to andquVscribCbeforemethis day of 2o-L,
by _ Viiha is personally known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary: 6j���,7,r
Commission Number: (Seat)
En 01/19/2011
ROY D FRAMPTON
Notary PuW-State of Florida
Commisslon#FF188186
My Commission des Jan.8.2019
RECEIVED OCT T2 2016