HomeMy WebLinkAboutRoof Inspection Affidavit 01/29/2019 09:23 FAX Z001
Planning&Development Services
Building&Code Regulation Division
M 2300 Virginia Avenue
UNTY Fort Pierce,FL 34982
772-462-2165 or 772.462-2172
Fax:772-462-6443
RQQ� INSPECTION AFFIDAVIT
Re: Permit# 1901-0308
I� David Packard , licensed as a(n)Contractor*/Engineer/Archltect
(Please print name&circle license type) *FS468 Building Inspector
*6eneral,Building,Residential or Roofing Contractor or any Individual certlfled under 468 F.S.to make such an inspection.
bn or about 01/29/2019 ,1 did personally inspect the roof deck nailing
(Date)
work at: 5102 Palmetto Avenue
(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 708 or the product approval submitted (whichever
Is most strigent).
` G CCCA17517
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF $t•Lucie
Sworn to and subscribed before me this 29th day of January Zp 19
by David Packard Who is personally known to me or who has produced
as Identification.
r'i.•.Y.ti STEPHANIE R.SMITH
Notary Public-State of Florida
Notary Public,State of Florida Commission I GG 139524
Signature of Notary: `,; fir My Comm.Exoires5ep2,2o21
Commission Number: __ dal a��edthrouShhetiaeaiNotuyusn.
En
R" ECEIVIED
JAN 2 8 2019
Permitting Department
St. Lucie County, FL