HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
" Fort Pierce, FL 34982
.772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT - RECEIVED
DEC T48
Re: Permit# / ' (SSS
ST. Lucie County, Permitting
11 licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle licens pe) *FS468 Building Inspector
*General,Building,Residential or Roafing Contractor or any Individual certified under 468 F.S.to make such an inspection.
On or about 10 //9 1 did personally inspect the roof deck nailing
(gate) �} / /
work at: ) J oc�' 1.1 e f oli�`
(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 611 or the product approval submitted (whichever is
most strigent).
1
Signature a Seal License#
STATE OF FLORIDA
COUNTY OF 51- G1Jt
Swor to and subscribed before me this_ day of Dtcl 20 '
by &N&iL 11-1A I Who is personally known to me or who has produced
as identli'ication.
Notary Public,State of F or' a,
42
Signature of Notary:
Commission.Number: 7 (Seal)
En 01/19/2011
a
Not ry P blic State of Floride 1/iCtar G AltenZio My Commission GG 294292
Expires 11105!2022