HomeMy WebLinkAboutRoof Affidavit Planning& Development Services
Building&Code Regulation Division
" COUNTY12300 Virginia Avenue
RECEIVED
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172 JAN 0 2 7019
Fax: 772-462-6443 permitting Department
e
St. Lucie County
ROOF INSPECTION AFFIDAVIT
Re: Permit it Q q 0
I _CC)aa�94cl as a(n)Contractor*/Engineer/Architect
(Please 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 —�— l . I did personally inspect a roof deck nailing
(Date) _
work at:Qn cp c 61-
T /
(Job site address) 11
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most strigent).
Signature and Seal License #
STATE OF FLORIQA
COUNTY OF CJ
Sw n to and s bscribed befor me this Z day of 2011
byQ►-� _. Who is personally known to me or who has produced
as identification.
Notary Public,State of Nrida
Signature of Notary:
Commission Number:_ (Seal)
En °� Notary Pubbb State of Fonda
Amanda P Sanqefson
F My Commission GG 211256
Jr Expires 04/25/2022