HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
_ Building&Code Regulation Division
. 2300 Virginia Avenue
_; Fort
Pierce FL 34982 RECEIVED
772-462-2165 or 772-462-2172
Fax:772-462-6443 SEP 0 5 1018
oermltting Departmen,
St. Lucie County
ROOF INSPECTION AFFIDAVIT
Re: Permit# 0 v U�(/�✓l
1,5 1 icensed 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 ct I L4I S I did personally inspect the roof deck nailing
(Date) ((�� r 1
work at: S(�D Qu t\Se-f- El A. , 1�1 4 Q;arc to R, 33
(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).
CCC 3 a 9�s5
Signature and Seal License#
STATE OF FLORIDA /
COUNTYOF�. LI/
LO-
Sworn to and subscri ed before me this a of 20
by nr r e P r0�� o is personal know to me or who has produced
idents is
Notary Public,State of Florida
Signature of Notary: �.M"'j Notary Public State of Florida
Kelley Castro
Commission Number: My
a C ; YGG 240879
Expir022
En