HomeMy WebLinkAboutBuilding Permit Application (2) Planning& Development Services
Building Code Regulation Division
2300 Virginia Avenue
D Fort Pierce,FL 34982
772-462-2165 or 772-462-2172.
Fax: 77.2-462-6443.
ROOVINSPECTION AFFIDAVIT
1 RECEIVED
! Re: Permit#-
Ca wo ld DEC 12 ?(318
ST. Lucie County, Permitting
I,- cG licensed as a(n)Contractor*/Engineer/Architect
(Please iprint name,&circle license type) *FS468 Building-inspector
*General;Building,Residential or Roofing:Contractor-or any individual certified under 468 FS.:to;make suc6:an'lnspection:-
On or about I did personally inspect the roof deck nailing
(Date)� /
work at: JQ�_ ao) m
l O!•'1
(Jolt the address).
Based upon that examination I have determined the installation was done-according to the current
edition of the Florida Existing Building Code Section 768 or-the product approval'-submitted (whichever
is most strigent).
� C 15�2nJ,
SignaturSeal License#
STATE-OF FLgRJWA
COUNTY 0
Sworn torand subscribed before me this, day of 20
by �=(r [��� - Z r� Who is personally known to me or who has;produced
T-/I as.identification.
Notary Public,State ofArida
Signature of Notary: �--
Commission'Numbdt:. a-5 1,2 (Seal)
En
*.OINNotsry:Public State of larida
Amanda P Sanderson
+� My Commission GG 211258
X10, Expiies 04/25/2022