HomeMy WebLinkAboutRoof Inspection Affidavit 12-16-17Planning si.bieveloprnertt Sgirvices.
BUilding & Code ftUlation Divition
2300 Virginia -Avenue
Fort Pierce, FL 34982,
172-462-1165or 772-462-2172 RECEMD
Fax: 772-462-6443 FEB., 0 12016
Permitting Department
ROOF -INSPECTION AFFIDAVIT St. Lucie Count,
Re: Permit #-54C
I'&C"y't &6111s, license ".as a( : n)Con.tractor*/Engineer/Atchitect
(Please print noinie & circle k6nse type) *FS468 Build ingA nspector
*General, building, Regidentidt or *Roofng ;Contractor or any Individual. certified under 468 F.S. tomake such an. inspection.
On or ab6Ut' 12, Idid personally inspect theroof.deck nailing
(bate)
work at: 21-1 Ue?
(Job,slte address)
Based' upon that examination l,'h.aveAdterImined- the installatio.n.was One according to the.cu,rrent
O
edition Florida Existing ,-BUildi,ng..Code;S'e'ctio'n, 708 or the product approval submitted',(whithever
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is ost-s ri nt
NZ
8iK6ture-.and Seal license #
STATE OFFLORIDA
COUNTY'OF
Sworn to and -subscribed before methis. day of _2oI7
by &Lr, k L 0,1N, v nownao,me rwHo'hds"Oroduced
. a§10'enti.ficatibn.
IDEB.ORA-4 RA'E-CNDLjjZrtj�y
Notary PUblic, Stateorid
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Signature of Notary- � EV-Mj,
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Commission Number: ISealY-- V
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