HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT.COU NIT.
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a�Y
Re: Permit # 190LI - OSly /
Inning & Development Services
ilding & Code Regulation Division
DO Virginia Avenue
Pierce, FL 34982
165 or 772-462-2172
: 772-462-6443
I, U 1Qw,8. Fduygdg licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
RECEIVED
JUN 1.3 2010
Permitting Department
St. Lucie Countv
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
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On or about to ' /3-/8 , 1 did personally inspect the roof deck nailing
(Date)
work at: Ll ZOI )&5e Lane P erce; FG 3108Z
(Job site address)
I
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
is most strigent).
Zee
Signature and Seal I License #
STATE OF FLOFAD
COUNTY OF I
Swor p and subscri eq befor me this day ofZ 201,
byWho is personally known to me or who has produced
as identification.
Notary Public, State of a
Signature of Notary:
Commission Number:
En
Yeah r
(Seal)
rNll irry .�
i1rt1�:Y; CHRISTA-LYNSALMONSON
MY COMMISSION # FF 969993
A,= EXPIRES: March 9o, Yo20
Bonded Thru Notary Public Underwriters
PIA 6e, 6&kedWe- a-1.1 ryly
. —17