HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
f� ;_ Building& Code Regulation Division
Q 2300 Virginia Avenue
0 o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
RECEIVE®
ROOF INSPECTION AFFIDAVIT OCT 3 0 2(199
ST. Lucie County, Permitting
Re: Permit# I q)D`06$3
I, &JQ4 P licensed as a(n)Contractor*/Enginee r/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 ID/3y//� . I did personally inspect the roof deck nailing
(Date) /
work at: G
3 l�G��n q aA Cb FT Agr-c P_ FZ- 3YF. .-
(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 mos str' ent).
CCC 133//70
Signature and Seal License #
STATE OF FLORIDA
COU NTYOF S IIv �e-
Savor o and�ubscribed before me this _day of nC- 20�
by 61A,16 cur l-e Who is personally known to or who has produced
as identification.
Notary Public,State of Florid
Signature of Notary:
Commission Number: k 6T-P (Seal)
En
BRANDY MOORE
Notary Public-State of Florida
Commission#GG 102839
My commission Expires
Mey 09,2021