HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(772)464-4329 To:St Lucie Inspections Fax: (772)46Z-6443 Page_2 of 2 0912812017 11:40 AM
Planning&Development Services
Building&Code Regulation Division
2300.Virginia Avenue
B Fort fierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# v
i,�'C,�vyd licensed as a{n)Contractor*/Engineer/Architect
(Please print name&,circle license type) *FS468 Building Inspector
'General,Building,Residential or hoofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about I did personally inspect the ro0 'f .
(Date)
work at:
(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 most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTYOF ��r/
i
Sworn to and subscribed before me this day of 20/
by s `� Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida i T1'BABE
Signature of Notary:
Commission Number:
I
En
RE�E