HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITG�.
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Re: Permit # 180 - NO30
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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
4W licensed as a(n)Contractor*/Engineer/Architect
(Pleas print name & circle license type) *FS468 Building Inspector
RECEIVED
APR 3 0 1018
Permitting Department
St. Lucie Countv
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 411 Rio H F , I did personally inspect the roof deck naL l
(Date) `�
work at: 6 6 5 Aj tlited 17 I V d
(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 a d Seal License #
STATE OF FLORID D
COUNTY OF Vi
Sworn to and subscribed before me this day of /'t1p t 20L
by 0UQjaS oe— Who is personally known to me or who has produced
as identification.
Notary Public, State of on
Signature of Notary:
�• 1REBECCA RESTTFO
Commission Number: ee .l,I N,ly-OoM%,1ISSION0GG91863
,2 EXPt1:ES: M 17, 2021
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