HomeMy WebLinkAboutRoof Affidavit • Planning& Development Services
-j-�j 121 j- Building& Code Regulation Division
., 2300 Virginia Avenue
- Fort Pierce FL 34982
' RECEIVED
772-462-2165 or 772-462-2172
Fax: 772-462-6443 APR 0 4 2018
Permitting Department
St.Lucle County
ROOF INSPECTION AFFIDAVIT
Re: Permit# o "
I, licensed a 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 aboutV-02.- 2018 , 1 did personally inspect the roof deck nailing
(Date) 1-qq--
work at: 9-1 ' piiV� wckt kL Q4 'T
(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 most strigent).
/�— CCC, l32_(015 '7 LI
Signature nd Seal License#
STATE OF FLORIDA ff
COUNTY OF 16' r d-'1 r►
Sworn to and subscribed before me this C)2
day of i 20L
by OntIgLs L DG who is personally known to me or who has produced
as identification.
{
f
Notary Public,Stat of to 'd
Signature of Nota ""' REBECCA RGSTIF63
Commission Number: Sea 6. ,>
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'
EXPIRES:May 17,11
2021
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