HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITFrom: Richard Newland Fax: (866) 610-8652 To: St Lucie Inspections Fax: (772) 462-6443
2 of 3 0610112018 6:53 PM
Planning & Development Services
Building & Code Regulation Division
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2300 Virginia Avenue
4-
-:A
Fort Pierce, FL 34982
Q',7
772-462-2165 or 772-462-2172
Fax: 772-462-6443
SCANNED
BY
R60F
wip Notv
INSPECTION AFFIRAVIT
Re: Permit #
license as a(n,)Contractor*/Engineer/Architect
(Please print name & circle license type)
I
*FS468 Building Inspector
4GOneral, Building, Residential or Roofing contrictor or any indrvidual certifted under 4158 F.S. to make such an inspection.
On or about 7. 15 "
�, I d'id personally inspect the roof deck nalling
(Date)
work at: F-61
Based upon that examination I have
edition of the Florida Existing Buildir
is most Strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this
by
wl
r as i(
Notary Public, State of F1 "d
Signature of Notary -
Commission Number: Ze, 67-� ov
En
(Job site address)
RECEMED
JUN -0 4 2M
�emlttlng Department
St. Lucie Countv
itermined the installation was done according to the current
Code Section 708 or the product approval submitted (whichever
6V e. ��-Yro j
License #
day of Y,
bi�iill-y known to meor who has produced
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411
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