HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSCANNED
ply
st we' "onfitv
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue RECEIVED
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 APR 10 2017
ROOFINSPECTION AFFIDAVIT
Re: Permit # — Q M
PERMITTING
St. Lucie County, FL
licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or'any individual certified under 468 F.S. to make such an inspection.
On or abouto�lDl I did personally inspect the roof deck nailing
'( ate)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
e of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
t st 'gent).
-,X�" x. ACC �36 0 tp 4
Signature and Seal License #
STATE OF FLORI A
COUNTY OF
Sworn to and s Ascribed bef re me this day of ,t 20_n
by \ E� . Who is personally known lo me or who has produced
as iaerrl:irLca>:ion.
Notary to of Flo ' a
Signature o o ary:
Commission Number: (Seal)
En01/19/2011 KAREN S., NIELSEN
-= Commission # FF 115637
3. +c
My Commission Expires
June 12, 2018