HomeMy WebLinkAboutRoof Inspection Affidavit 02/05/2006 22:31 7724602255 ADVANCE PAGE 02/02
Planning& Development Services
t - -
Building&Code Regulation Division
2300 Virginia Avenue
a Fort Pierce, Fl.34982
772-46z-x165 or 772•-462-ZI72
Fax:772-4626443
ROOF INSPECTION AFFIDAVIT
Re:
�Permit#
I, . )601 -c V, p .5 , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,ResidenVal or Roofing Contractor or any individual cerNfled under 468 F.5,to make such an inspection.
On or about I did personally inspect the roof deck nailine
(Date) 99
work at: �C _
(Job site address)
Based upon that examination I have determined the installation was done-according to the urgent
edition of the Florida Existing Building Code Section 611 or the product approval submitted(whichever is
mosstrigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF CJL.
Sworn to anN �d subscribed before me this _day of C ?\40k-T•20A
by 'S 4 a, who is personally known to me or who has produced
as identification,
Notary Public,State of FI ride
Signature of Notary: e /i° �-.•�
Commission Number,. (Seal) I
En 01/19/2011
MADE LA LUZ VIELASCO
MY COMMISSION 9 00050399
EXPI 6 November 28,2020