HomeMy WebLinkAboutRoof Affidavit Planning & Development Services
C� - Building & Code Regulation Division
I COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECzrl'ED
ROOF INSPECTION AFFIDAVIT APR 101819
Permittng D
St Lucie CAantment
Re: Permit# ' q 0— aLo r
I, �'C`C 1Z W',I`icensed as a( Contract r*/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 on inspection.
On or about , I did personally inspect the roof deck nailing
(Date)
work at: 60� 1 (C�✓�� �_S�"� ��— �t_l�
(Jobaite address)
Based upon that examination I have determined the installation was done according to the current
editioEst the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is mo i nt).
Lc � 133111 )
Signature and See License#
STATE OF FLORID
COUNTY OF (� 4,
Sworn to and subscribed before me this��day of2-
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by 4A Ajtlb 1, , Who is personally know to me or who has produced p m
as identification. 0 Tm X N
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Notary Public,State of Florid Z c9 0
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Signature of Notary: m ; u m
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Commission Number: (Seal) w 2' E
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