HomeMy WebLinkAboutRoof Inspection Affidavit 1210712016 10:52 All Area Roofing TAX}112 464 6600 P.0011001
Planning& Development Services
<r.n.,erxau.-.-dm .dwrvnM4Ame r Wvn•a uV
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL,34982
772-462-2155 or 772-4622172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# lip 1j -
licensed as a(n Contrac r*/Engineer,/Architect
Warne circle license a *FWs u ding Inspector
(Please print &CI type)
*General,Suildiaq,Residential or Roofing Controetor at any individual certified under 468 F.S.to make such on Inspection.
on or about_ oCd �o ,I did personally inspect the roof deck nailing
(pate) 1 )
work at: �"J A-0
(Job site address)
Based upon that examination l have determined the installation was done according to the current
edition of the Florida Existing Building Cade Section 611 or the,product approval submitted (whichever is
mos igent).
11, L4 =Z5C� 12�
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF � - t•C�.l�-
Sworn to and subscribed before me this 7 day of C,'.P.o�1 -P�� 20 ,
by Who is ersonally known to me or who has produced
as identification.
Notary Public,State of Flor a "
Signature of Notary:, C—n!�,'V`1 � {
Commission Number: (Seal)
FAITH MON
En 01/19/201.1 * � WC0Mtul s10M#G 00Mq
m� o� EXPIRM June 2o.2020
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