HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
F Building& Code Regulation Division
2300 Virginia Avenue
0 o Fort Pierce, FL 34982
772-462-2165 or 772-462- 172 RECEIVED
Fax: 772-462-6443 NOV 2 0 2019
ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit# Z5-9-
1, 0 0144 W ` ' 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 10012 12 . I did personally inspect the roof deck nailing
(Date) / /
work at:-6S-05-
t: 6S-0 11�/e.41.�o�7c�/ 1
(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 mdst st geq�Y.
CCC-/3 / 7 0
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF -*.
Sworn to and subscribed before me this �`�' day of t)6J 264
b&) 4\ar-a,,"t'�'. \may Who is personally known to me or who has produced
T L D L as identification.
Notary Public,State _ Florida
Signature of Notary.
Commission Number: ($"NAMARIE GIVENS
�
MY COMMISSION#GG 022029
:a EXPIRES:December 16.2020
En '% OF���� Bonded Thru Notary Public Underwriters