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
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#sL(1/60 0e
I, Q IF9 I ensed as a(n)Contractor*/Engineer/Architect
(Oleas&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 Jam'f g I did personally inspect the roof deck nailing
(Date)
work at: (-7 t.tr(�� �(� T /�. /'•�212.0-e, ��'
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition}o e Florida E 'sting Building Code Section 708 or the product approval submitted (whichever
is mo t stri ent).
Si nature and S4al License#
STATE OF FLORIDA
COUNTY OF
Swor&oand subscribed before me this '7' day of ' 20_byr'n . Who is person known t me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number. (Seal)
En
p� AUDREY B.HRECEIVED
UMPHREY .
'&R.•Yew,,
g *'
MY DEC
20 92 DEC - 7 2018
arch 6,
Bolided Thru Notary Public Underwriters
•%�o�ho,.•
Permitting Department
St. Lucie County, FL
,` � - ...
._ - .i , . . ..,