HomeMy WebLinkAboutRoof Inspection Affidavit Nov 27 1704:33p GEBS 5618556204 p.1
Planning & Development Services
Building & Code Regulation Division
,iC' UNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# 1711 — 0034
IJesus Jimenez 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 on inspection.
On or about II 1 7-'7I 2101 1 did personally inspect the roof deck nailing
(Date)
work at: 18504 Kitty Hawk Court
(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 708 or the product approval submitted (whichever
is m trigent).
CCC1329998
Signature an eal License#
STATE OF FLORIDA
COUNTY OF Palm Beach
Sworn to and subscribed before me this Zq day of N GVEMb E K 20-1-11
by Jesus Jimenez Who is personally known to me or who has produced
as identification.
I
Notary Public,Stat of lorida
Signature of Nota •"' "• CA JDRA Q LUGZifE
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Commission Number: (Seal)
tdtY COMM,S�iON1 sF�D r05 9
En EXPIRES January 13. 201 A i
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RECEIVED
NOV 2 8 2017 .�
Permitting Department
St. Lucie County, FL