HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT" SCANNED
Planning & Development Services at LUC12 COO'
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
I, e , licensed as a(n)Co,ntractor*/Engineer/Architect
(Ple se print name & circle license type) ; - *FS468 Building Inspector
RECEIVED
APR 1 &.7010
Permitting Department
St. Lucie County
*General, Building, Residential or Roofing Contractor or any individuol certified under 468 F.S. to make such an inspection.
On or about _ TEb) is I did personally inspect the roof deck nailing;
(Date)
workat:
(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).
Signature d Seal
STATE OF FLORIDA
(,"CCl3a(o57�f
License #
COUNTY OF /VI(.lf-k.N
Sworn to and subscribed before me this A-d y of AJ26 20LL
by4'G+s 0 Who is personally known to me or who has produced
as identification.
Notary Public, State o FI i
Signature of Notary:
Commission Number: (Seai)S° ''`EBECCf1 RESTIFQ
¢ , l);+ siy Co\1\IISS10N q (36')1&i?
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