HomeMy WebLinkAboutRoof Inspection Affidavit 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 OCT 0 81018
Permitting Department
ROOF INSPECTION AFFIDAVIT St. Lucie County
Re: Permit# 0 ()q? l
I, U licensed as a(n ontrac */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 K)- I - l`v , I did personally inspect the roof deck nailing
(Date)
work at: e;C•� 13�-1562,
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edJoa-q the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most 1 t).
��� CCS- 33►1�1 D
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF Gj2�'
Swor to and subscribed before me this day of 'ant-- 20�
by, ;/zezl� �t 2 Who is personally known to me or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
En
HEATHER BURFORD
:r -State of Florida-Notary Public
Commission # GG 183217
My Commission Expires
� A
February 06, 2022