HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT05107120113 06:30
TAX) P.0011001
SCAM
-V
St Luelo
M: Permit # 1803-0716
1, Juan Martinez , licensed as a(n)
(Please print name & circle license type)
Planning & Development Services
Building & Code Regulation Division
MID Virginia Avenue
Fort Pierce, FL 34982
RECEIVED
772-462-2165 or 7724462-2172
MAY 0 7 ?n1A
Fax: 772-462-6443
Permitting Departmen
St. Lucie Count%,
NSPECTION AFFIDAVIT
`/Engineer/Architect
*175468 Building) nspector
*General, Building, Residential or Roosting CoritmUvr yr a'ny individual cerrltled under 458 FS, to make such an inspection.
On or about _ ��] , I I id personally inspect the roof deck nailing
(Date) ,
work at: 1193 Nettles Blvd., Jensen Beach
BaNi
at examination I have d
edP orida Existing Building
is t),
ignaturoNnd Seal
STATE OF FLORIDA
COUNTY OF Martin
site address)
ined the installation was done according to the current
Section 708 or the product approval submitted (whichever
ccc '1330788
License #I`
m
Sworn to and subscribed before me this •e ._�. — : • day of aY 20_L
by Juan Martinez . Who is personally known to me or who has produced
F-as identification.
Notary Public, State qLzlorlda
Signature of Notary:
Commission. Number:
En
(Seal)
4�QMM1S51Litd # G3143436
MY C 7, 2D21
4