HomeMy WebLinkAboutInspection Docs Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-21 2 RECEIVED
Fax: 772-462-6443
i`;uU 0 5 2018
ST, Lupie county, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, �1Licensed as a(n Contractor* Engineer/Architect
(Pleas 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 �� '� I did personally inspect the roof deck nailing
(Date)
work at: S 61 S a! ad" �-
(job site address)
Based upon that examination I have determined the installation was done according to the current
edition of rida Existing Building Code Section 708 or the product approval submitted (whichever
is r1si
Cl i 3j-� 7
rignaturee and Seal License#
STATE OF FLO!�-Luc,
COUNTY OF
S rn t and subs i d f r is day of V 20LZ
b Who is personally kn n to me or who has produced
as identification.
Nota Public,St f F rid �t—'Signature of Notary:
Commission Number: (Seal)
En