HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1UL/09/2018/MON 10:42 AM F; z D Roofing FAX No. 32125'r" 14 P. 001/001
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 77Z-462.2172
Fax: 772-462-6443
St NPPA. r - s SPECTION AFFIDAVIT
Re: Permit #
I
licensed as �a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
RECENED
JUL 0 9 2olo
Permitting Department
St. Lucie County
'"General, Building, Residential or Roofing Contractor or any 1ndMdua1 certified under 458 F.5. to make such an lnspectlan,
On or about 1-2-1 �,1 did personally inspect the roof deck nail g
(Date)
work at: ?6 6) / ";6/7V 4�'xt?
(Job slte address)
Based upon that examination I have determined the installation was done accordingto the current
edition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most striRent).
CCC/3a 9�a y
ature and License #
STATE OF FLU DA
COUNTY OF
Sworn to and subscribed bef a me this day of 20/g/
by tLht 11 Who is personally Icn n to pi r who has produced
as Identification.
Notary Public, State ofP1
Signature of Notary:
Commission Number: (Seal)
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