HomeMy WebLinkAboutRoof Inspection 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
ROOF INSPECTION AFFIDAVIT
Re: Permit# V C�
I, &T/ WTuensed as a( Contractor /Engineer/Architect
J'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�—/ I did personally inspect the roof deck nailing
(D te)
. work at:
(Job site a dress)
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
i most strigent).
Signature and Seal License#
STATE OF FLORID - `
COUNTY OF
��
Sw �toand subscribed be ore a this 4/' day of`� 20��
/lis sonally known to me or who has produced
as identification.
Notary Public,State of Florid
i
Signature of Notary: L " " G'
Commission Number: �� (Seal)
En
UP
AUDREY B.HUMPHREY (
MY COMMISSION#GG 3M17 FIR C FEM,€a
EXPIRES:March 6.2023
Bonded Thru Notary Public Undomdjo�s
MAY
Permitting ient
St. Lucie County, F�