HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation 'vis' E�EIVEQ --
2300 Virginia Avenue
Fort Pierce, FL 34982 JUL 03 `O;3
772-462-2165 or 772-462-21,72
Fax: 772-462-6443 ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit# m/s-6
licensed 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 �/2�1 le,Ot , I did personally inspect the roof deck nailing
(Date)
2t
work at: _� 22� Lt l�� L�a—�- ��r..� >%T %',3! C� , / 3Y til
(Job site address) r
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 .
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Signature and Seal License#
STATE OF FLORIDA
COUNTY OF 6 k
Sworn to and subscribed before me this day ofy Y 20_�l,
Who is personally known to me or who has produced
as identification.
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Notary Public,State<Florida DEI�NNAMF�RI�QIVFNS !
�:"' "k, MY COMArISS10N
Signature of Notary: a ,: )C8�tbLf
Commission Number: Sys<"1ro1 �_�. o= EXPIREs/
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