HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
�) 7 Building&Code Regulation Division
2300 Virginia Avenue
p Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
[BAR 10 2017
ROOF INSPECTION AFFIDAVIT PERVi!-T:
St. Lucie i, nt;. FL
Re: Permit'# Sl�G-1702 -SSS
20 �
I,_ ilg21 U1als►, . licensed as a Contractor ngineer/Architect
(Please print name&circle license type) *FS46 ui Ing Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 458 F.S.to make such an inspection.
On or about 3'10-!7 , I did personally inspect the roof deck nailing
(Date)
work at: %l St gjk Rf vt,, lot-
(Job
ot(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 611 or the product approval submitted (whichever is
most st ent).
GU� CCCI,??0c??9
Signakure and Seal License#
STATE OF FLORIDA
COUNTY OF a
Sworn to and subscribed before me this I O`er day of J"koarC�n 20L,
by MieAnae `
� &JS n Who ispersonally known to me or who has produced
as identification.
Notary Public,State of Florida
'Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
..q:fMATTHEW JOHN SAFF1071
' �� MY COMMISSION#GG 039979
EXPIRES:October 2$2020
Bonded Thru Notary Pub9c Underwriters