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 RECEIVED
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i SEP 1. 6 2919
? ROOF INSPECTION AFFIDAVIT
i' Permitting Department
t. St. Lucie county
Re: Permit# ltt
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I,llh�elJ l: &ensed as a(n)Contractor*/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 an inspection. }
On or about �� ,I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address) i
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) ( (\y
f Signature and Seal License# L
i
STATE OF FLOgID
COUNTY OF
n
,5wa o and stub gibed lfeJore me this p day y, )b ft
f Who is personally known o me or who has produced
by Who
l as identification.
Public,State of)FIpt a)
Notary j ,r r�r✓} ` �R...-
Signature of Notary. ��' ' `�
f 2 Z 't 5 1 (Seal) �,ra+.a Shan a Go by bt Fionan
Commission Number` Sharma Gorby
My Commiss4on GG 342283
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Expues 06/06/2023
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