HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT�l
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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
ROOF INSPECTION AFFIDAVIT
Re: Permit #161-a
RECEIVED
WIAR'2 7 me
Permitting Department
St. Lude County
I'��La►\e� ��� licensed as a n)Contractor /Engineer/Architect
(Please pri t name &.circle license type) *FS4 ui mg Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 3 , I did personally inspect the roof deck nailing
(Date)
work at: cr &
(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
most stri ent).
Signaturekind Seal
STATE OF FLORID
COUNTY OF Y�
cc(! 13 )-n5 L
License #
Sworn to and subscribed before me this _216_ day of c i, 20 is -
by DmWevQD who is personally known tome or who has produced
as identification.
Notary Public, State of Fl i
Signature of Notary:
Commission Number: 7,5t'aa
REBECCA RESTIFO
En 01/19/2011 �'`, `EXPI ES. M. 13 0,3 3 .