HomeMy WebLinkAboutRoof Inspection Affidavit . .
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
COUNTY Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT OCT 2 9 20119
ST. Lucie County, Permitting
Re: Permit#
Ilicensed as a(n)Contractor*/Engineer/Architect
(PI ase 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: 3530 3a"- %-t`G aj
(Job site address)
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).
CjC-C I
Signature and Sea License#
STATE OF FLO A
COUNTY OF
Sworn to and subscribed before me this day of UFi 20_ft
by Lf Q V4jjCCyjfL2L Who is personally known to me or who has produced
10 l as identification. c
Notary Public,State of Flor �&A WIN
Signature of Notary: _ .`' �i COMMISSION GO256359
Commission Number: EXPIRES:Sept 9,�200222y
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