HomeMy WebLinkAboutRoof inspection AffidavitFILE COPy
Planning & Development Servlces
Building & Code Regulation Division
2500 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-4622172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
WMED
FEB 2 0 1019
Permitting Department
St. Lucie County
Re. Permit # 1, .611F
i. licensed as a(n ontracto *Engineer/Architect
(Pleas print name & circle license type) 'FS468 building inspector
"{enervl, Blrflding, Resldenflol or Hoofing Cvntracter or any Individual certified under468 F.S. to make such an inspection
On or about Aa '� , I did personally inspect the roof deck nailing
(D te))
work at: *%5 #0d fine"< (i "Je�
(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
Al
), Signature and Seal
STATE OF FLORI A
COUNTY OF V
License #
S to and bsc Wed efore met o%b� day of 20Ar
b ' ;L' SC/Q ho is personally known to me or who has produced
as identification.
Notary Public, State of FI r _,
Signature of Notary:
Comrnisilon Number: (seall
En 01119/20i:
WROUERrM At ESTOM
I MY COMINISSION I FF =495
.f E"ES: October 5, 2Oig
Bond � Nofa7 Public undewnn
I'd £bb929b221T:01
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