HomeMy WebLinkAboutRoad Impact Fees Planning &Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
iCOUNT
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
MAY 152019
ROOF INSPECTION AFFIDAVIT ST. Lucie County, Permitting
Re: Permit#
1, o\.RAW W, lY licensed as a(n)Contractor*/Engineer/Architect
(Please print nam &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 "3 1 did personally inspect the roof deck nailing
(Date)te
work at: J0 '�b&VAk'A LA f 'P/Wce, f M
(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 tri ent
vim' 00.e— 113 1ID
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF'Ar.
Sworn to and subscribed before me this day of M qN 204
0—%N%1" -' W'.\nt-A Who is personally known to me or who has produced
V"' . fl L— as identification.
Notary Public,Stat Florida
Signature of Notary:
Commission Number: Z)F
IE GIVENS
vrv' j
oi� : 9020
En :.. MY COMfJI1SSI0N
December 1fi,
EXPIRES: danvcitels
rnN Notyry Public Un
9r o:� Bonded