HomeMy WebLinkAboutRoof Inspection Affidavit Dec 291611;27a p.1
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# 0 (2 " G
I, Nil&)A1415 L l`yl1\L►Z rZ , licensed as a(n tra /Engineer/Architect
(Please print name&circle license type) *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 q:civ , I did personally inspect the roof deck nailing
(Date)
work at: Jr�f.S� T 1� �-y Ii. LF -S . W'&�J
(lob site address)
Based upon'that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most stri nt . '
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF h
Sworn to and subscribed before me this yb -�—day ofheo!?m b�.g 201�0
bA` —�� \MAG, Who is personally known tome or who has produced
as identification.
Notary Public,State of orida
Signature of Notary: a -�-
commission Number: (Se Y FELICIALYNEGANDEE'
NOTARY PUBLIC
En ol/19/2011 STATE OF FLORIDA
Calan#FF051263
Expires 9/4/2417