HomeMy WebLinkAboutroof Affidavitt�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
1COUNTY 'A" Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
epE.MW
APR4P19 2
222M ROOF INSPECTION AFFIDAVIT ��fii
Permitting Department §� "s
St. Lucie county
Re: Permit#
1, SpitOclicensed as 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 an inspection.
On or about )&/c;Z �j �� °!� , I did personally inspect the roof deck nailing
(/D/ate)
work at: � �f ��/!il/1 rc !/ J�4
(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 strige1�t}-�`
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF ►y�'�
Sworn to and subscribed before me this s= day of 20JL'
by Who is personally known to me or who has produced
Ck�Scv�ct_,l�ia 1-'\Jcw0 ' as identification.
Notary Public,State of rida
Signature of Notary:
Commission Number: ' (Seal) . '.;: c' CHANTAL MONTGOMERY
Ccmmission#FF 924875
En = Expires October 6,2019
?cm7M?hru Trey Fain Inaurana E063Ys7019