HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
2300,Virginia Avenue
NTY
�• Fort Pierce, FL 34982.
772-462-2165 or 772-462-217.2
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT RECEIVED "`-----
FEB 19 ��
ST. Lucie Count
Re: Permit#e 6y y, Permitting
I, )100licensed as a(n)Contractor*/Engineer/Architect
(Please print na a&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 0—k n"ao I did personally inspect the roof deck nailing
(Date)
r
work at: 6d�g q- r-Y-y I
(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,,
L�c13311-70
Ignature and Seal License#
STATE OF FLORIDA
COUNTY OF `�
Sworn to and subscribed before me this \ day of �-�Y� 20�
by a) Who is personally known to me or who has produced
as identification.
Notary Public,State-,�Florida . . rod•., DEANNAMAi't1E`rfe EIdS�?»
Signature of Notary.: MyCOMMISSIONxuG0:2
PIRESq ce�per
Commission Number: GCs d"a'���"3 =ter 2 �liu raErs
',FOFf�M BondedThm � IicUn;iaru�' !r
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