HomeMy WebLinkAboutRoof Inspection Affidavit Planning&Development Services
Building&Code Regulation Division
& 2380 Virginia Avenue
Ton
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax:772462-6443
EC
JAM 2 6 tow
ROOF INSPECTION AFFIDAVIT
Re; Permit# 8 T7
1, t cykc,r6 i5o l ze r , licensed asn)Contracto /Engineer/Architect
(Please print name&circle license type) *FS468 Building inspector
*General,Building,Res/dendal or Roo,Nng Contractor or any individual certi}ted under 468 Rs.to make such an Inspection.
on or about 0 1 did personally inspect the roof deck nailing
(pate)
work at: 113 r7 t_"u ro 1` ect--� C. M
(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). _
Signature and Seal license#
STATE OF FLORi
COUNTY OF�' ''}p��
Swot to nd su ib d before me this Cday of tiU 20
by ,i( Y ;�lt Who Is personal) known down tome or who has produced
as Identification.
'
Notary Public,State of Fl a A.Doreen Longford
Signature otNotary: NOTARY PUBLIC
ESTATE OF FLORIDA
Commission Number. (Se Comrn#6 ,`043591
En 01/19/2011 Explres 12/8/2020
Z6:00 GZOZ'9Z'u'er