HomeMy WebLinkAboutRoof Inspection Affidavit RECE1'.• D NOV 0 8 2916
a Planning& Development Services
Building&Code Regulation Division
II 2300 Virginia Avenue
® . Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, SJ+=��� �� 4 v V� c�t , licensed as )Contracto /Engineer/Architect
(Please print name!circle license type)I *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such on inspection.
On or about ([—g— 1 (o , 1 did personally inspect the roof deck nailing
(Date)
work at: M U--) Tt- -'>,%Cco
(Job site address)
Based upon tha a"mi ation I have determined the installation was done according to the current
edition oft Florida xisting Building Code Section 611 or the product approval submitted (whichever is
most stri nt).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF ��•i.uc\�
Sworn to and subscribed before me this day of 1v a� 20�G,
by' -Az- ,v% Z`Zs*e V\%is tk • Who is personally known to me or who has produced
as identification.
Notary Public,Stat Florida
Signature of Notary:
Commission Number: (Seal
GG
En 01/19/2011 N,,,,, � M\SS��N 16.2020 0�
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