HomeMy WebLinkAboutRoof Inspection Affidavit • 0 tq 0 5
Planning& Development.Services
Building&,Code Regulation Division
® 230G Virginia Avenue
O TY Fort Pierce, FL 3'4982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
JUN 2 5 4019
ROOF INSPECTION AFFIDAVIT Permitting Department
St. Lucie county
Re: permit# /9(yo -- aSb3
I, &Aj O licensed as a(n)Contractor*/Engineer/Architect
(Please print narne 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 �� l�j , I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio f the Florida Existing Building Code Section 708 or the product approval submitted (whichever
mo tri en ).
i
�'.CC 13,3zz�a
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF .S-)�-
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Sworn a and subscribed before me this Z siTu"-e-- 1,
day of 5UZOJ -s A ,b
so
by ],p nJ� ball Who is oerna[[y known to me or who has produced
as identification.
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Notary Public,State of F[ori a ° 9:
Signature of Notary: Q o 3 !Z>
Commission Number: (Sea[) 2 3 TT
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