HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITY�
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Planning & Development Services
Building & Code Regulation Division
2306 Virginia Avenue - RECEIVED
Fort' Pierce, FL 34982 APR '1 81010
772 462-2165 or 772-462-2172 Permitting Department
Fax:, 772-462-6443 St., Lucie county
ROOF INSPECTION AFFIDAVIT
Re: Permit #
licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) i *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about f-1W ��1"`� , I did personally inspect the roof deck nailing
(Date)
work at: �.�� � � �tj
(Job site address)
Based up n that examination I have determined the installation was done according to the current
edition olithe Florida Existing Building Code Section 708 or the product approval submitted (whichever
is most 11rigent).
re and Seal
License #
STATE OF FLORIDA
COUNTY OF LUI,a-C !
Sworn to and subscribed before me this Gday of &cr�L— 20j_�
by =-Qq�k A7,S14p eIWLA, Who is personally known to me or who has produced
C_ as identification'.
Notary Public, State of Florid�K Signature of Notary:
Commission Number: ! (Seal)
En
State of Flo deS oRaUORD
Commission # GG 183277
MY CommisslOn Expires
�FA- brud�Y �e' 2022