HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
jUIC
Building&Code Regulation Division
, COUNTY 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
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Fax: 772=462-6443
REce,
ROOF INSPECTION AFFIDAVIT JAN.®8i
2020
Perm
itting oepartmen,
St. Lucip
Re: Permit# !J(/
I, U L� a�✓1" licensed as a(n)Contractor*/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 7, a 0,;A y , I did personally inspect the roof deck nailing
(Date)
I�
work at:
900 S
(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 igent).
Signature and Seal License#
STATE OF FLORID II
COUNTY OF
Sworn to and subscribed before Sr
efore me this � day of l ,t_J 2i 0
by - �c�.u�t's�t r`dU Who is personally known to me.orwho has produced
as identification.
I
Notary Public,State of Flori a II
Signature of Notary: !I
Commission Number: Q (S
En =: =state ELLEN VAUGHN
-�®•� Commis iorida-Notar Public
iip`P�. Y Mi Sion # 27007 is
M mmis �� 9
Octobef 22 202pires
2