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# � � ' ' ^
COIC <32 7 4 licensed as a(n)Contractor*/Engineer/Architect
{Pleas€print name e e FS468 Building inspector
'General,Bulldtng,Residential or Roofing Contractor or any indlvldudl certified under468 P.S.to make such an Inspection.
pn.or about�tc° s. tai ,I.did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flotida Existing Building Code Section 611 or the product approval submitted (whichever is
7most s igent).
Si ature and Seal License#
STATE OF FLORID �y rt
COUNTY OF
Sworn to nd sub�crib def re me this of a1 r�1f,� 20
by� A who i ersonall nown to rhe or who has produced
as idents ication,
Notary Public,State of orid .;
Signature of•Notary. a�tU
Commission Number. (Seal) U
.. • DEC � .
En 01/19/2011 = EXPMM R�DEI�E�
eritber 1S•20(8
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