HomeMy WebLinkAboutRoof Inspection Affidavit03/11/2013 03:16AM 77233651!7-" ST.LUCIE TRADITII?NQ1� PAGE 01/01
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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
OOF INSPECTION AFFIDAVIT
Re: Permit # I q I l7 - cf�-'-eD
I,.�e� i^�f1rnD.SDI.1 . licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Cont►actcr ar any individual card led under 468 F.S. to make such an inspection.
On or about f (I a 0 ( 1 r7 . I did personally inspect the roof deck nailing
(Date)
work at: ry i♦ L4 Sea �, V , t'O��( Pi f-co 'p
(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 rigent),
Coe f 33 OK K-0
- S nature Ad Seal License #
STATE OF FLORIDA
COUNTY OF &r Z..LkN R--
Sworn to and subscribed before me this J— day of ! V Q V 201q
by j Who is personally known to me or who has produced
as identification_
n
Notary Public, State of Fl ido
Signature of Notary:
Commission Number: l UpE5 l !:2 (Seal)
En
CONS7ANCE PRE?
My COMMISSION # FF 1
EXPIRES September 16,
RF
,r NOV 2 0 2017
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