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 #
A
,DEC J
p (A?!'s{TTiiSG
St. Lucie County, FL
I„2�k,4Wieensed as a(n)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 O% I did personally inspect the roof deck nailing
(Date)
work at: O 3 C '�'�-�- ��
(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).
as
Signature and Seal License #
STATE OF. FLOR A
COUNTY OF �.
Swor to nd subf �ri�bed befor me this day • f 20U
by O t� UAir �O Who is pers Ily known to me or who has produced
as identification.
Notary Public, S f Flo ida
Signature of Nota . ��
Commission Number: (Seal)
En KAREN S. NIELSEN
sl oye�
Commission # FF 11563
'-'"- My Commission Expires
,411►a June 12. 2018