HomeMy WebLinkAbout Roof Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
. , Fort Pierce, FL 34982 RECEIVED
772-462-2165 or 772-462-2172
Fax: 772-462-6443 MAY 1 4 7018
Permitting Department
St. Lutie county
ROOF INSPECTION AFFIDAVIT
Re: Permit#t�L C, I RQS-01a
\jL✓o n, e 'A-
I, Ueorlo-- licensed as a(nContract * 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 an inspection.
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On or about 5 ! )3 J 18 1 did personally inspect the roof deck nailing
(Date) n �/
workat: 7SO �c-I /�1�e �Urf 1_i2�Ce, �ypJ I
(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�.
7�.� `�C-r1rn,�.- CCS 13a71y�
Signature and Seal License#
STATE OF FLORIDAJ
COUNTY OF
Sworn to and subscribed before me this day of A20��
by Vo/e c 2 Z,c o er j7 . Who is personally known tJ me or who has produced
as identification.
Notary Public,State of Florida rr
Signature ofNotary:_ < � +�` 00lN�J.FIALL
.
_ X
Commission Number: GG :0.,2 —z e (Seal) lAt June4 420
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