HomeMy WebLinkAboutRoof Affidavit mM Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
' COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
RECEIVED Fax: 772-462-6443
JUL ] 0 701P
Permitting oepartm ROOF INSPECTION AFFIDAVIT
St.Lucie Courr
Re: Permit# aup
licensed as a(nontracto */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 I did personally inspect the roof deck nailine
(Date)
work at: �:)oout
(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).
Signature and Seal License#
STATE OF FLOP
DA
COUNTY OF S ,Lc-vA-
Sworn to and subscribed before me this day of—x%-� 20�
b1,�LJrtS GCS st1,_ Who is personally known to me or who has produced
as identification,
Notary Public,State of Flo pi" MARKKENNY
Signature of Notary: Commission#GG 144499
Commission Number:
Expires Septomber19,2021
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