HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
�.� ;� � �' Building& Code Regulation Division
' COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, �' ,eyll (tC� ca , licensed as n)Contractor* ngineer/Architect
(Please print name&circle licensetype) *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 I did personally inspect the roof deck nailing
(Date)
work at: S2/4-
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the FI a Existin Building Code Section 611 or the product approval submitted (whichever is
most strig
� �s-s-7.3 Aga
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF S
Sworn to and subscribed before me this �� day of �dJ 206
0r9 U 4 f Who is personally known to me or''wfio has produced
Y- t- 1D L- as identification.
Notary Public,Stat f Florida
Signature of Notary ,
Commission Number: IS��Cs�"l�1 pt1Ep�p23
'4'��'"�Sti'•: �(COMM SION# 2020
En 01/19/2011 r• ~�`•.'- I NoO�pber ubkUnd-1-01