HomeMy WebLinkAboutRoof Inspection Affidavit 1110412016 13:12 SEACOAST BANK WEST MORELAND 0:4772 337 6111 P.0021002
Planning&Development Services
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S'• `I� r`� Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
� , Fort Pierce, FL 34982
772-462-2165 or 772-462-2172'
Fax: 772-462-6443
., RECEIVED Hol! 04 2016
ROOF INSPECTION.AFFIDAVIT
Re: Permit# (0 `�� 1
I, licensed a n)Contra ctor* Engineer/Architect
(Please pr9ftame&circle license type) *1-54156 Hullaing Inspector
*General,Building,Residential+orEERoofing Contractor or any Individual certified under 468 F.S.to make such an inspection.
4n or about r"`_"c"�- . I did personally inspect the roof deck nailins
(Date)
work at; b 60\--7
ft-.
(Jobs address)
Based upon that examination I have determined the installation was done according to the current
editi n of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
mos strigent).L/11
nature and Seal License#
STATE OF FLORIDA
COUNTY OF -51' 1,.w �,1 16
Sw rn to and subscribed before me this ��`day of {V ovo.r+^�tCr Zp
by -Z Li,N 2 �.�'-f5cL vJ who Is p*rsaajh known to me or who has produced
as Identification.
Notary Public,State of F da
Signature of Notary:
Commission Number: I4T S
JAIME ORTIZ
`;env .
En 01/19/2011 �`fR P��, Notary Public•$
tate of Florida
My comm.Expires Jun 1,2418
commission#FF 111485
fill
Bondod Through National Notary llvsn.