HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue RECEIVED
Fort Pierce, FL 34982
772-4624165 or 772-462-2172 MAY .2.9 70i0
Fax: 772-462-6443 Permitting Departmew
St. Lucie Count,
SCANNED ROOF INSPECTION AFFIDAVIT
BY
at Lucie County
Re: Permit #A
0�-O0s
licensed as a(n ontractor/,*/Engineer/Architect
l� �
(Please print name & circle license type) *FS468 Building inspector
*General, Building, Residential or Roofing contractor or any individual certified under 46i3 F.S. to make such an inspection.
On or about
I did personally inspect the roof deck nailing
(Date)
work at: Id
(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
is most strigent).
*t= �� r
Signature and Seal
STATE OF Fl. A
COUNTY OF
License #
Swprn to and subscri ed before me this o1 day of M lo.a 20�
Who is personally known to me or who has produced
as identification.
Notary Public, State of Flo ' a J o��Q�. ►y►ARKKENNY
e ' • ° Commission # GG 144499
Signature of Notary:
Commission Number: (Seal) Nr o� ExpfresSeptember19,2021
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