HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT04130/2018 07 ; 37 A I I Area Roof i ng r
(FAX)7724646600 P,001/001
IscA N ED
Re: Permit # �S� y-all05
I, licensed as a
(Please print name & circle license ty
*General, building, R1es�identlo�l arRooPngContractaror
On or about "1 --r) 4O . I dil
(Date)
work at:
Based On that examinati n I have
edltlVfif the rida Exis g ildir
is stria tl.
Signature a
STATE OF FLO l4 Ci.L.
COUNTY QF
Sworn to and subscrUaed lLejore me this
by fty&tQ Uri S. V
as
Notary Public, State of Florida
Signature of Notary:_
Commission Number.
RECEIVED
nning & Development Services
Iding & Code Regulation Division
APR 3,�1701A
10 Virginia Avenue
Permitting Departmeil+'
t Pierce, FI. 34982
St. Lucie Counh '
I
A62-2165 or 772-462-2172
�: 772-462-6443
r/Architect
*FS468 Building Inspector
individual cerdfed under 468 F.S. to make such an Inspection.
personally inspect the roof deck nailin
34%p
address)
Ined the installation was done according to the current
Section 708 or the product approval submitted (whichever
Cf.L I 's S Q LD 9
License #
day of r 1 2p
AmUlaam to me or who has produced
(Seal)
En IFAiMMmoN
t * MY COMMISSION g GG 003939
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