HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITI, s E 9.6r licensed as a(n)
(Pleas print name & circle license type)
*General, Building, Residential or Roofing
S
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
►1
/Engineer/Architect
*FS468 Building Inspector
RECEIVED
MAY 0 s mio
Permitting Department
St. Lucie County
or any individual certified under 468 F.S. to make such an inspection.
On or about S—y , I did personally inspect the roof deck nailing
(Date)
work at: 2rl
site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building lCode Section 708 or the product approval submitted (whichever
is most stril;ent),
re and'Seal
STATE OF FLORIDA
License #
COUNTYOF-�Q1f�✓t
Sv
orn to and subscribed before me this �' _ day of MgN 7-A
by MIr►14T E Q •c Who Is personally known to me or who has produced
as identification.
Notary Public, State
i
Signature of Notary: } r~-U-BECC-A REST'i O
Commission Number: y >'` S�al),i� res�»uSsioA GGa���'
En �