HomeMy WebLinkAboutInspection Docs 2016-10-18 12:40 j.a.tayl.or roofing 772 468 8397 >> 7724626443 P 1/1
=11 Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fli.34982
772-4622165 or 772-462.2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re Permit#.I&Qq—w5a
1, Kq�:C' le_._ , licensed as a(n)Contractor"`/Engineer/Architect
(Please pAt name&circle license type) *FS468 Building Inspector
*acncrol,Building,Residential or Roofing Contractor or any Individual certifted under 468 F.S.tomake such an Inspectforl.
On or about I did personally inspect the roof deck nailing
(Date)
work at:
a�ap , ?-1
(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 strigeA5��
J4-- �
14f� L " a IR 4c .
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF �� v7c
Sworn t nd subscri d bfore me this day of 202P
by 1,1 ,tocr( _, Who is»ersanall knit own to me or who has produced
as identification.
XV"
Notary Public,State of Flori .....W
Signature of Notary._
Gp moor Is
Commission Number; (Seal
En 01/19/2011 'Ci AFF 83&050
RECEIVED
OCT 16 2016