HomeMy WebLinkAboutroof inspect affid 2016-10-27 12:37 j .a.taylor roofing 772- 468 8397 » 7724626443 P 1/1
Planning&Development Services
Building&Code Regulation Division
COUNTY 2300 Virginia Avenue
. P, I A Font Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-162-6443
ROOF INSPECTION AFFIDAVIT
Re., Permit#
'n C
licensed as a(n)Contractor'"/Engineer/Architect
(Please pr l name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing ContractorOF any IndlYldU01 Certified under 468 F,S,to make such an inspection.
On or about O —V�—kCP I did personally Inspect the roof deck nailing
(Date)
k
w r
o `at; L6' le
(Job site ddress)
Based upon that examination I have determined the installation was done according to the current
edition of the Flori xisti Building Code Section 611 or the product approval submitted (whichever is
most strigent
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn t a d bsc Ib b Fore me this day of10'6a'. 1(0
by , Who Is personally known to me or who has produced
as Identification.
Notary Public,State of Florid �� "�o�``;$�oN•F,r%
Signature of Notary-.---
or r,�
Commission Number; (Seal) �`'.
En 01/19/201 w': bFF93G050 s
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