HomeMy WebLinkAboutRoof Inspection AffidavitPlanning & 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 # I- _ 1(9 — 0Z I Z
I, 05"�2. licensed as a(n) A�actor/Engineer/Architect
(Please print name & circle license typ*FS468 Building Inspector
General, uilding, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about Yl Lzo,
I did personally inspect the roof deck nailing
(Date)
work at:° 2� O(n LA) � -k
(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 anp Sea
STATE OF FLORIDA COUNTYOF _-'ALc f
License #
Sworn to and subscribed before me this 0b day of tip ) r 201�
by Cs_a 17,2 o _ Who is personally know_ n to me or who has produced
as identification.
Notary Public, State of PI rids - --
Signature of Notary: MA ®@ LA LUZ VELASCO
Commission Number: Seal) '� :~ MY COMMISSION # GG050399
EXPIRES November 28, 202p
En [RIE'
NOV 20 2017
Permitting Department
St. Lucie -Cou.nty, FL