HomeMy WebLinkAboutRoof Inspection Affidavit 7A Z57 7
Planning& Development Services
f Building&Code Regulation Division RECEIVED
2300 Virginia Avenue
701q
Fort Pierce, FL 34982 DEC 1
7.
772-462-2165 or 772-462-2172 Permitting oepartmen,
I St. Lucie counr"
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#z'uL
I,'\�Q �Oj ' �censed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about C' , I did personally inspect the roof deck nailing
(Date)
work at: �t f t '�.�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 most strigent).
-=
Signature and Seal License#
STATE OF FLO
COUNTY OF
Sworn to and subscribed be re me this /Z--day of,I ' YY 20�
by Who is personally known to me or who has produced
as identification.
Notary Public,State o rids
1
Signature of Notary:
Commission Number: (Seal)
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