HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
- Fort Pierce,
FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 5Lt--)(a U-603 7
RrPn46y-r,— licensed as a -s;r-acto * ngineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about 9 ' a2DI lo , I did personally inspect the roof deck nailing
(Date) `` I
work at: H'99-' m i (I Q uarl bc.
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition Qf'Ch-�f lorida Existing Building Code Section 611 or the product approval submitted (whichever is
mo s 'gent)'.
ign Lure a Sea License#
STATE OF FLORIDA
COUNTY OF_� 1171
Sworn to and subscribed before me this dayof _0 GZ.— 20�(y
by 6 ��(t+n� -_ . Who�'s-po sonally__known to�r�or who has produced
as!den�tl�fica ion.
Notary Public,State of Flori
Signature of Notary:
Commission Number: f FF 11s'7 Fra (Seal)
En 01/19/2011
;o Notary Public State of Florida 4W %
Carrrtela Frantantonl
My Commisaion FF 975753
or a Expires 05/29/2020