HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: (772)462-6443 �L 3 of 3 04121!2017 2:51 PM
AVE.- Planning&Development Services
Building&Cade Regulation Division
ISO 7 2300 Virginia Avenue
Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax. 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit 4
� r ,
if ,v (-J licensed as a(n)Contractor*/Engineer/Architect
(Pleiise print name&circle license type) *FS468 Building Inspector
"6enerat,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
,
On or about `� r �- , 1 did personally inspect the roof deck nailing
�(D/ate)
work at: ? / Z C CJR( i rn Q E Ve
Jasite 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 Seat"' License#
STATE OF FLORIDA
COUNTY OF
Sworn t_o and subscribed before me this r2 r' day of_� 20
by <4c.,.�✓f ���^(. �' Who is personally known io me or,who has produced
as identification.
asuzlrstzl SsG :.r.:;r,:,.
Notary Public,State of Florida 81 2, r'zr""tib ry ,
Signature of Notary: _.
OttLEl3i3 t3' i'Jt�iSSia'l=` i hE' i'V�l Y :'.^'s
Commission Number: eal �'aORhi"'s I
En 01/19/2011
- 1011
. EC�1v E� ppR=2,1