HomeMy WebLinkAboutRoof Inspection Affidavit Planning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
• Fort Pierce, FL 34982
- 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
(50-u, \K(i licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
General Building,Reside or an i Residential or Roofing Contractor y ndividual certified under 468 F.S. to make such an inspection.
0n or about O I did personally inspect the roof deck nailing
(Date)
work at: 12:2 lk'caak Q-t- 'Ng" \
(Job site address)
Based upon that examination I have determined the installation was done according to the current
I?St
f the Florida
Existing Building Code Section 708 or the product approval submitted (whichever
ism s rigent).
Sign re nd Seal License #
STATE OF FLORID
COUNTY OF
Sworn to and subsc 'bed before me this da 20
by,:jg):j rl Qn . Who is perso ally known to a or who has produced
as identification.
Notary Public,State of Florida / � RECEIVED
Signature of Notary: l(�
Commission Number: Seal) FEB 0 9 2021
En permitting Department
St.Lucie County
=ot;'v',au c; AUDREY B.HUMPHREY
MY COMMISSION#GG 300817 r
j ';- EXPIRES: ,,arch 6,2023
Bonded Thru Notary Put'__ ��dzrxritc�rs„l