HomeMy WebLinkAboutRoof Affidavit 2018/MAY/07/MON 12:25 FAX No, P, 001
Planning& Development Services
Building&Code Regulation Division
Z300 Virginia Avenue
+ , Fort Pierce, FL 34982
772-462-2165 or 772-462-7,1,72 RECEIVED
Fax: 772-462-6443
MAY 0 7 9018
Permitting Departmen•-
ROOF INSPECTION AFFIDAVIT St.Lucie Count
Re: Permit# -
1, (// r licensed as n)Contractor* Engineer/Architect
(Please print name&circle license typ *55468 Building Inspector
*General,8ullding,Residential or Roofing cantractor or any Individual certified under 468 FS.to make such an Inspection-
on or about -TA did personally inspect the roof deck nailing
( te)
work at: Alfmew(r-
A
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Uisting Building Code Section 708 or the product approval submitted(whichever
is most str'
igna ure and Seal Pcen e#
P
STATE OF FL R QA
COUNTY OF
Swom)�o and I ubscrib before me this (/ f 201X
by /�!/1/ 2r Y/t� Wh is personally known to rwh has produced
as iden
Notary Publi State of Flo '
Signature of N'
Commission Numbe (Seal)
En JANINE 3CA0'ICCHiQ
II
My COMM18810N#QG040800
EXP117E5 October 23,2020
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