HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
a o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, Yicensed as a(n)Contractor /Engineer/Architect
(Please print name&circle license type) Ing 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 nailing
2 (Date)
work at: �'3m �►(Y1 !1/1/�Il� C' .
(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 stri
Signature and Seal License#
STATE OF FLO IDA'/
COUNTY OF Y
Sworn to and subscribeq before me this �'5 day of —Qt+ 20_(�
by ]V4Y0 W to me or who has produced
as identification.
Notary Public,State of Flo i
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
oOY PUe��c PABLO ARES
* MY COMMISSION#FF 998006
m� c� EXPIRES:June 1,2020
��FOf f���\ BOndMThru Budget Notary Senrfc.s