HomeMy WebLinkAboutRoof Inspection Affidavit _ Planning& Development Services
Building& Code Regulation Division
COUNTY M- 2300 Virginia Avenue
Fort Pierce, FL 34982
-- - - --_- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT OCT 2.4 "019
1 ST. Lucie County, Permitting
Re: Permit#
I, L lir / �1-0 licensed 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 l , I did personally inspect the roof deck nailing
(Date)
work at: M 3 7 AA1-00C7'T 67- 7 �i erre �L 3
603? (Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of th. Florida Existing Building Code Section 708 or the product approval submitted (whichever
is moststri ent).
/ CCC 13,311 7
Signature and Sea License#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this ay day of 4�+ 20�,
byt,Q\4-.4, u'\\" . Who is personally known to me or who has produced
as identification.
Notary Public,State o lorida
Signature of Notary: "�P". DEANNAMARIEGNENS i
Commission Number:�G 0a� da.3 ;, . ,
MISSION#GG 022023
Qa PIR S:December 16,200 F
En „oF����p Bonded Thru Notary Public UnderwMars