HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJar 1518, 11:11a Treasure Coast Ro-q\ng _ 7723438358 p.1
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
ROOF INSPECTION AFFIDAVIT
I -7 a 09t 7a
Re: Permit #
1, `4 , licensed as a ontracto Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468F.S. to make such an inspection.
On or about / I did personally inspect the roof deck nailing
{Da )
work at: J.1A C 4 1G�G r_�
(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 611 or the product approval submitted {whichever is
m t
us stngemj.
Signature aSeal'
STATE OF FLORIDA
COUNTY OF Guy
CCC 132a6�S 3
License #
Sworn to and subscr' ed before me this _ d E. ,�0&
by who i . rsorr"ra y_ kin o me or who has produced
as lde i F ion.
Notary Public, State of Florida �'j �`✓ ° -
Signature o`�
f Notary:
Commission Number:
1,'/
En 01/19/2011 REC 15VEjD-
JEAN 16 2018-
Permitting Department
St- .Lucie County, FL��