HomeMy WebLinkAboutRoof 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 RECEIVED
APR 0 3 7019
ROOF INSPECTION AFFIDAVIT
Permitting Department
St.Lucie County
Re: Permit# A
I -. .� tit
1, W J (,j(ficensed as a(n)Co ntra ctor*/Engi nee r/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 �—� 1 did personally inspect the roof deck nailing
(Date)
work at: �¢ �teo 2Vyk2 -
(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). J
tature a d Seal License#
STATE OF FLORIDA
COUNTY OFrr-
Sw1o�rn to and subscribed before me this day of fl `t ` 20
by W �`���• ���1' ..a x Who is personally known to me or who has produced
FL X, as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: (Seal)
En
TMEOODRE$ARANTO
I W'1 PWMW,'$tau o1 FWWa.
Cion#66 04773
ljlr C0�1MIf.En01m Nov 7.2020