HomeMy WebLinkAboutRoof Inspection Affidavit 1
Planning&Development Services
Building&Code Regulation Division
2300 Virginia Avenue
� _s Fort Pierce, FL 34982
' 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
RECEIVED
OCT 3 12019 .
[,z"
Lucie County, Permitting
Re: Permit# ��b 013.3
I, , �:" licensed as a(n)Contractor*/Engineer/Architect
(Please,print name A 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 —�( \� , I did personally inspect the roof deck nailing
(Date)
work at: 0�brp, °L\r
(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
i moM, nt). ,
Signature and Seal - License#
STATE OF FLORIDA
COUNTY OF •S-C,
Sworn to and subscribed before me this day of 20AI
by Rolg Who is personally known to me or who has produced
L ID L as identification.
d, DEANNAMARIEGIVENS
Notary Public,State lorida ��"••'.? '
' MY COMMISSION#GG 022023
Signature of Notary: `A � _* ? - WIRES:Decerober16.2020
Commission Number: C,-Go��druNotaryPubticUndenvriters
En