HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building&Code Riegulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax`772-462-6443
DECECEIVED
ROOF INSPECTION AFFIDAVIT D2 3 ?C,-�
ST. Lucie County, Permitting
Re: Permit#—&—]&
7:S-O 5h UQ&hfflX4jCensed as a(n)Contractor*/Engi n*eer/Architect
(Please print name&circle license type) *FS468 Building Inspector
*General,Building,Residential orRociftng Contractor or any individual certified under 468 F.S.tomake such an inspection.
On or about ,I did personally inspect the roof deck nq!!!n&
(Date)
work at:330 Mie SOLS -be- W R Lw-t-e Pt -301'e
(job site address)
Based upon that exami a det rmined the installation was done according to the current
edition of the Fl ' a Existi uilding de Section 708 or the product approval submitted (whichever
is most st i nt).
132; L-2 0
gnature and S License#
STATE OF FLORIDA
COUNTY OP,5T7r
Sworn to and subscribed before me this of,n day of -'eTA;0ek- 20ij
by'��'ZSh,jCt a(!,hro<2,d4?A' Who is personally known to me or who has produced
as identification.--�
Notary Public,Staida
Signature of Notac:--t_61ra
Commission Number-,Q;6,tj 64q,) (Seal)
En
e"R0.1q.I, LISA MARIE MONTELEONE
Notary Public-state of Florida
ce Commission#GG 190497
My Comm.Expires Feb 27.2022
"%,nded through National Notary Assn.