HomeMy WebLinkAboutRoof Inspection Affidavit �
From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: (772)462-6443 Page 2 of 2rt 02/06!2017 10:37 AM
AMR
L Planning& Development Services
Building&Code Regulation Division.
v 2300 Virginia Avenue
m" Fort Fierce, FL 34952
772-462-29.65 or 772-462-29.72
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# {ry t
licensed as a(n)Contractor*/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 — - j l did personally inspect the roof deck nailing
(Date) l� )
work at: �
(job site address)
Based upon that examination 1 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- eal License#
STATE OF FLORIDA
COUNTY OF l
Sworn to and subscribed before
� beforeme this 6 d r
obyC- C d SOL
whe-hasproduced
a(G as iden
Notary Public,State of Florida Ati PRY°c MISTY B08IU 1
�� n MY COMMISSION#EE88?�700
Signature of Notary: = ' I k
g Y UA
RES:RES:MAP,13,2017
Commission Number: �.....-- 8ac01,dTt;c!0hjai atateInsurance
En 01/19/2011
FEB /6 tow