HomeMy WebLinkAboutRoof Inspection Affidavit Planning& Development Services
Building& Code Regulation Division
lST LUCtE - . I
an 2300 Virginia Avenue
i Fort Piece, FL 34982
772-462-2165 or 772-462-2172'
Fax: 772-462-6443
RECEII/ED
DEC-2 .
ROOF INSPECTION AFFIDAVIT 1010
Permitting Department
St.Lucie county
Re: Permit#
Sr�vc`N
I, CA�oti6t,�,�u licensed as a( 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 12-ZI —7`7 I did personally inspect the roof deck nailing
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flor' a Existing Building Code Section 708 or the product approval submitted (whichever
is most str'ge
Signature and Sea license#
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 2C 2W
by Co.-,tT1 t . Who is personally known to me or who has produced
L 1-- as identification.
Notary Public,State of Florid'
Signature of Notary:
Commission Number: �'��,-`�"Zco a
En `��°�ra P
@ `yy State of Florida.
C(Vllnrriissio # C3C,te Y Public
Y IrOr i,t�ilfi lti'�, 0079
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