HomeMy WebLinkAboutRoof 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
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ROOF INSPECTION AFFIDAVIT
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Re: Permit# 1806-0028
Roderick Waller , 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 on inspection.
On or about 7/28/2018 1 did personally inspect the roof deck nailing
(Date)
work at: 6804 Santa Clara Blvd, Fort Pierce, FL 34946
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editi of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
mo rigent).
CCC1327208
Signature and Se i
I License#
STATE OF FLORIDA
COUNTY OF St.Lucie
Sworn to and subscribed before me this 30 day of JUIY 2018
by Roderick Waller Who is personally known to me or who has produced
as identification.
Notary Public,State of V 1AA14—
Signature of Notary:
Commission Number: =SophiaHanis I
En 01/19/2011 of fW7i"
G 2380730