HomeMy WebLinkAboutInspection Docs Planning & Development Services
Building& Code Regulation Division
* 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
MAR L 8 2017
ROOF INSPECTION AFFIDAVIT PEIRIMITTINIG
St. Lucie 0('Unt�f,
1
Re: Permit# &4
I, "1 � licensed as a(n)Contractor*/Enginee r/Architect
(Please print na a&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 aklykb? '>-01f__' I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that amination I have determined the installation was done according to the current
edition r Existing Building Code Section 611 or the product approval submitted (whichever is
mo s g
C C; G 4� Z V(
ignature and Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20_,
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011