HomeMy WebLinkAboutRoof Inspection Affidavit From:Richard Newland Fax:(866)610-8652 To:St Lucie Inspections Fax: (772)462-6443 Pao of 5 0511012017 2:45 PM
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34932
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFMAVIT
Re: Permit# 61 V I
!, -r / ' Ccvlli licensed as a(n)Contractor*/Engineer/Architect
(Please print name$c 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 � � r I did personally inspect the roof deck nailinfz
(Date)
work at:
(lob 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 61.1 or the product approval submitted (whichever is
most strigent).
Signature and Seal License#
STATE OF FLORIDA
COUNTY OF:rT f
Swo.r'to and subscribed before me this --day of ' 20�
by S11 C exA1.':�/c.— ,:� Who is personally known to me or who has produced
as identification, .
Notary Public,State of Florida
Signature of Notary:
Commission Number: �.µ"+�,;;'ES'eat)�';.: I;;; ;;t;,a L�rs•;;Tar}
En 01/19/2011 y .. c &'rtil is?s"'
RF�FIVED APR 1� 21�17