HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
,_ Building& Code Regulation Division
Or LO it a
2300 Virginia Avenue
o P Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION Mal
RECEIVE®
OCT 2 4 0,J
q ST. Lucie County, Permitting
Re: Permit# � _/�(�`��.5�
I, a.0 0 'V 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 10102-112 . 1 did personally inspect the roof deck nailing
(Date) ll
work at: Z -,� /Oaurd rS G c�i c_ ag erCP_ IrL 31%92
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is m t s ig nt).
CLL13�11?C�
Signature and Seal V License #
STATE OF FLORIDA
COUNTYOF 5A �yU-e_
r
Sv to an subscribed before me this 9-A day of OC7- 20J ,
by,�Sc&A,1 k-e Who is personally known to me or who has produced ,
as identification.
r
Notary Public,State of FIid
Signature of Notary: i
Commission Number: (Seal)
En BRANDY MOORE _
Notary Public-state of Florida
`� += Commission#GG 102839
r3 My Commission Expires
"� as May 09,2021