HomeMy WebLinkAboutRoof Inspection Affidavit 12128/2016 14:55 All Area Roofing (FAX)772 4646600 P.001tool
w„ Planning& Development Services
5.:�'41+: _ Building& Code Regulation Division
2300 Virginia Avenue
a p Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# Z6
_ . _. _. .... _ ...... _ . ..._. icense a5'aC� on raG Cir ngl—inter rG i eC
(Please print name&circle license type) *FS468 Building Inspector
"General,Building,Residentipf pr Ropfrng Contractor or any Individual certified under 468 F.S.to make such an Inspection.
On or about "o[ – �p ;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
editiop-qf ffie Florida Existing Building Code Section 611 or the product approval submitted (whichever is
mo 5tr nt).
41�
Signature and Seal License#
STATE OF FLORIDA ��� -
COUNTY OF
SW and subscri d before Me this a9? day of.. .. �C IZ b-ei'
byor o Gtr(-25 - I cCCUS. Who is or+r��-to m,e,orwho has produced
as identification.
Notary Public,State of F
Signature of Notary:
Commission Number: (Seal)
En OV19/2011
FAITH MASON
* MYCOMMISSION#G0003935
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June 20.2020
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