HomeMy WebLinkAboutRoof Inspection Affidavit I
Planning& Development Services
5 r Building&Code Regulation Division
2300 Virginia Avenue
COUNTY
o Fort Pierce, FL 34982
-- 772-Mill 462-2165 or 772-462-2172 MEIVED
Fax: 772-462-6443 AUV.12. 2019
perrr►Itting Dep
artment
ROOF INSPECTION AFFIDAVIT St.Lucie counI
Re: Permit# `I 1 d-C) `Q
licensed as a(n) ontracto /Engineer/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 ! ( ( ( I did personally inspect the roof deck nailing
(Date) ' � -rD
work at:__�2� dC,� i! AvtP7660 i
(Job site address)
Based upon that examination l have determined the installation was done according to the current
edition of a lorida Existing Building Code Section 708 or the product approval submitted (whichever
is st r'
Signature and Seal License#
i
STATE OF FLORIDA
COUNTY OF J> "ILA-C.UL—
Sworn to and subscribed before me this Qday of &7,5-Z 20__('ii
b C�, Who is ersonail known to me or who has produced
4.67�Y � � Y
s identification.
Notary Public State of Florida
Signature of Notary:
Commission Number: ��(ht'T7� (Seal)
1�P �i
En =o a�, Florida-ELLEN VAUGHN
o_State of
=+ �� oia�y Public
zv� Commission #GG 270079
%, m%; Q MY Commission Ezires
October 22, 2022
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