HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
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Building &Code Regulation Division RECEIVED
L2 G&T 2300Virginia Avenue
Fort Pierce, FL 34982 APR 3.m 7010
772-462-2165 or 772-462-2172 Permitting Department
Fax: 772-462-6443 St. Lucie County
ROOF INSPECTION AFFIDAVIT
Re:�7Permit# 180.3- 0146-7
I, licensed as a(n l—�*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under468 F.S.to make such an inspection.
On or about '-?1" 1 did personally inspect the roof deck nailing
(Date) C
work at: 3 f$b Lan
(Job site address)
Based upon that examination I have determined the installation was done accordingto the current
edition of the Florida Existing Building Code Section 611 orthe product approval submitted (whichever is
most strigent).
4 - `� GCC4•�3O6s 3
SignatuWand License #
STATE OF FLORIDA
COUNTY OF i�
Swom to and subscrib d before me this �daQ2.1 20
by �avl� c��ty-e T Who is rsona y knownme'or who has produced
'dentification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 ,-��, R05EP.TERUNKE
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