HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
6 6Z2300 Virginia Avenue RECEIVED
INOWFort Pierce, Fl,34982 PEAR i Q 7010
772-462-2165 or 772-462-2172
Fax:772-462-6443 Permitting Department
St. Lucie County
ROOF INSPECTION AFFIDAVIT
ZK Z
Re: Permit#
I, �n6^2 licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license pe) *FS468 Building Inspector
*General,Building,Residential or noofing contractor or any individual certified under468 F.S.to make such an inspection.
On or a bout 31,30)19 1 did personally inspect the roof deck nailing
(Date)
work at:_�y 4`-i' z-&-6,ekf, co,,e-�-
(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),
C cc.►2Y)b53
Signature an al License#
STATE OF FLORIDA
COUNTYOF Lt ;e
Swoto and,5ubscrib d before me this r41rGel'1 20_1�<
by n n o+'^ _�` W personally known t e or who has produced
I ti ca ion.
Notary Public,State of Had
Signature of Notary:
Commission Number; seall-
F08ER7 BRUNKE
En 01/19/2011 Notary Public—State of Florida
' ti`�•= Commission.;GG 176972
a;i My Comm.Expires May 12,2022
•''�.'�..;;,`•••' t3ondcd trough Naaane!Neary�.
I•-d bul;ooyIssooeinseeal 86£160'81. 0£a13W