HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITl
o
St Urip rnli.�v�
�`
Re: Permit # �' V d 70
1,`�irl�t,dl:( f /.y /on..� licensed as a(n),
(Please print name & circle license type)
General, Building, Residential or Roofing Contracto
On or about H— t �— 11 1
(Date)
work at: 9 (d Kew w &G
Based upon that examination I have d
edition of the Florida Existing Building
is most strigent).
Signature and Seal
STATE OF FLORIDA
COUIVTYOF_�{.ta, ,,r
Sworn to and subscribed befo me this
by �, F�� , �.,✓7a Wh 's per:
— as identf
Notary Public, State of Florida
Signature of Notary:
Commission Mumber:
En
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
77 2-462-2165 or 772-462-217z
Fail;: 772-462-6443
r ~'/Engineer/Architect
*FS468 Building Inspector
RECEIVED
APR .12 7019
Permitting Department
St. Lucie County
individual certified under 468 F.S. to make such an inspection.
personally inspect the roof deck nailing
site address)
ined the installation was done according to the current
Section 708 or the product approval submitted (whichever
License ##
Of J"5 20
T�WZ a or who has produced
(Seal)
,,. CHRISTINA MARIE RODRIGIIIes
�i :� ••: As1Y co lost
_ORt Ctob17GG # GG 152040
EXtsfREs• 0 2021
% • o!;o•''
8OAQW B�aryPub�ctlrsdp to
u