HomeMy WebLinkAboutSet-up Manuals From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspecdons Fax: (772)462-6443 Page 4 of 4 02/09/2017 10:29 AM
Planning& Development Services
Building&Code Regulation Division
. 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-64413
ROOF INSPECTION AFFIDAVIT
Re: Permit# 7 o l` �J
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 �'� rJ��z I did personally inspect the roof deck nailing .
(Date)
work at: 00 r, /0 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).
v� Signature and Seal License#
STATE OF FLORIDA
COU NTYOF
Sworn t and subscr)bed before me tVis (5 day of � Y"l_ee?-/'20, z
by ✓� Who is personally known to me or who has produced
,15 4F- r as identification.
Notary Public,State of Florida d ' i �SYP� MISTY 80i UIN
Signature of Notary: t` A��L' My COMM- SION-069E883700
Commission Number (Seal)
` EXPIREES:MR 13,20117
Bandetlzl:;ooph1stSiatPl�.^�saranCe
En 01/19/2011
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