HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
` Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462=2172
Fax: 772-462-6443 RECEIVE:
JUL 18 2L"'
ROOF INSPECTION AFFIDAVIT
ST, Lucie Counly, Pet^ i
Re: Permit# d�O
I,G/rAJ+Vl% J (���;��. 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 7— 1( — 01 , 1 did personally inspect the roof deck nailing
(Date)
work at: 7_96169 gam,✓- lik 4L R19f.
(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 strig to
Siature and Seal License#
STATE OF FL0 A
COUNTY OF
Sworn to andsubs ed bef a me this day of 201
by I W�l 17n1 l I J&Y Who is personally known tome or who has produced
as1 identification.
Nota State of to ' a
Signa o-
Commission Number: (Seal)
En KAREN S. NIELSEN
;State of Florida-Notary Public
=* •c Commission #GG 207484
My Commission Expires
�i,FOF FI ; June 12, 2022
off 11111��