HomeMy WebLinkAboutroof inspection affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax (772j 462-6443 Page 2 of 2 10i21i2018 8:19 PM
` � ' `• planning&Development Services
• �1k1� , , u`rri� i�
Building&Code Regulation Division
- 23oo Virginia Avenue
' M) Fort pierce,FL 34992
772
05 or 772-462-2172
Jam " Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
/ 7
# r�, , ., J. licensed as a(n)Contractor*/Engineer/Architect
1, ,;•,i �s:=l_1 .,___.�-- *FS468 Building inspector
(Please print name&circle license type)
*Generol,Building,Residential or Roofing Can troctor or any individual certified under 468 F.S.to make such an inspection.
rh
1 did personally inspect the roof deck nailing
On or about
(Date)
,f
work at,
(Job site address)
Based upon that examination 1 have determined the installation was done according to the current
wh chever
Ba P roval submitted
edition of the Florida Existing Building Code Section 708 or the product app
is most strigent).
signature"arid Seal License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of L'C d 20__f1
by who is personally known to me or who has produced
as identification.
Notary Public,State of F119 ''da
Signature of Notary:�` '}g , /1Lt.�, 7„ �w I_.,
Commission Number: C` 1%2 oy 0 (Seat)
CHRISTINA MARIE R40RiDU1;$
d MY cOMMiselom 0()a 152Q4Q
En �' `' EXPIRES
1}oiT}fl":' :Oct ober 18.2021
Bonded rr-Notary Publ,UrWetwMEare