HomeMy WebLinkAboutRoof Inspection Affidavit 0110912017 15:28 TAR) P.0011001
Planning&Development Services
Building&Code Regulation Division
rl
.2300 Virginia Avenue
o R I o A Fort pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-+6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# &.r- l ioi-opal l
I, fi irdo Laax licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential or Roojmg Contractor or ony individual cerUfted under 468 Fs.to make such an Inspection.
On or about l 146'113 .1 did personally inspect the roof deck nailing
(Date)
work at: 431S' seminar- PA. -j4cr l ,
(job 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 strigent).
a-
Signaf6fe and Seal License#
STATE OF FLORIDA
COUNTY OF 1ADY 6Y)
Sworn to and subscribed before me this— day of 201
by 12=dam LavN who is personally k wn to me orwho has produced
as identification,
Notary Public,State of
Signature of Notary-..'ee�
Commission Number: (Seal)
En 01/19/2011THERME.
` 7NAryfw�uAdowhots
a62E28,2017
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