HomeMy WebLinkAboutroof inspection affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: (772)462-6443 Page 4 of 4 03J0612017 10:19 AM
Planning&Development Services
. �•�`:u' •"^: r ~� ;' �-`�K.`�` wilding&Code Regulation Division
2300 Virginia Avenue
s $' Fort Pierce,Fl 34982
_:... :..::.:. ....._:,;,..::.:.....:.-:._._.:...:....... 772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re- Permit#
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 moke such an inspection.
On or about_ �> I did personally inspect the roof deck nailing
(Date)
work at: { �.: f`t"tT(y-r (•�
(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 Sea[ License#
STATE OF FLORIDg,
COUNTY OF 5 7 &I,
Sworn to and subscribed before me this 4=' da of 20_1-7
by Whcaci�R rte ` own to me or who has produced
asl entification.
Notary Public,State of Florida +
Signature of Notary: 0i YiiSfifi3CSIL"
Commission Number:'— (Seal ` `�° it
i" i}1YG}isiii1561tNV�'Et8d3700
a : EX AKS:i;16t-13,2017
En 0111.9/2011 " SOnec i ?i;?Ys°UPS w insr t Oce