HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1.
426(tin -
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
RECEIVED
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
JUN 1-1.7018
Fax: 772-462-6443
Permitting Departmer3
St. Lucie Ccurt ,
ROOF INSPECTION AFFIDAVIT
Re: Permit # n 41 � v
I, kpo4 : licensed as a(n Contractor /Engineer/Architect
(Please print namh & circle license type) *FS468 Building Inspector
I
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
I
On or about T� / , I did 'personally inspect the roof deck nailing
(Date)
i
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code,Section 708 or the product approval submitted (whichever
s mos t).
Signature ad54al License #
STATE OF FLORIDA
COUNTY OF 5J'- 4,U C)-e
Sworn o and subscribed before me this It day of �Li/I�G 2011
by L &1 0 C . Who is personally known to me or who has produced
as identification.
Notary Public, State of Florid
Signature of Notary:_
Commission Number: (Seal)
`%4yp�/,, HEATHER B'URFORD
En ,�� 4As State of Florida -Notary Public
=• •= Commission S GG 183217
My Commission Expires
�au,a` Februar 06, 2022