HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
- _ = Building & Code Regulation Division
COUNTY 2300 Virginia Avenue RECEIVED
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 MAY 2 3 2018
Fax: 772-462-6443 Permitting Departmer,
St. Lucie Count,,
ROOF INSPECTION AFFIDAVIT
Re: Permit#� fjS'�o�"3g�
as a( Contractor* ngineer/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 I did personally inspect the roof deck nailing
(Date)
work at: 2453 Ez3z9
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of t Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mos 'str ge
Signature a05e--511' License#
STATE OF FLORIDA
COUNTY OF S-Jf. 1,% c �
Sworn to and subscribed before me this day of 20
by 4t—tt-^ Who is personally known to me or who has produced
V-t, d t as identification.
Notary Public,Stateof rida
Signature of Notary:
Commission Number:tX 4%4-m (Seal) _
En r Di=ANNA MARIE GIVENS
MY COMMISSION#GG 022023
= EXPIRES:December 16,2020
c`=
� Bonded Thru Notary Public Underwriters