HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
�� �_j^' Building& Code Regulation Division
0 2300 Virginia Avenue
e o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVED
ROOF INSPECTION AFFIDAVIT OCT 3 0 ,019
ST. Lucie County, Permitting
Re: Permit#�Q�d-0 Crab Z
licensed as a(n)Contractor*/Enginee r/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 I did personally inspect the roof deck nailing
(Date)
r—
work at: .5-,77/ /i-a ve '115 CJS F7`1'0, 5;e Z
(Job sife 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
ismt strigent).
'99C cL 63/17C�
Signature and SA License #
STATE OF FLORID
COUNTY OF, Ut'Ve,
Swo to and subscribed before me this .30 day of 0(4 20t
by i )AAA (,J,If� Who is personally k�n to me or who has produced
as identification.
Notary Public,State of Flori
Signature of Notary: C& 032'.6zo—
Commission Number: rr�G boa-63ri (Seal)
En
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BRANDY M00RENotary Public-State of FloridaCommission ff GG 102839My Commission Expires May 09.2021