HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT6� -Ca7.(-P
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
S4�UP��Pn���. ROOF INSPECTION AFFIDAVIT
Re: Permit #
I, rw licensed as a(n)Contractor*/Engineer/Architect
(Please print name &circle license type) *FS468 Building Inspector
RECENED
JUL I: � 2018
Permitting Department
St. Lucie coup
ty
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: �'c Z o—�r
(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
isAyrost strigent).
Signature and Seal
STATE OF FLORIDA
COUNTY OF `:�— Ll1Zr�ti[
CC,C, lss5 v-to
License #
Sworn to and subscribed before me this 1 —2, day of 20
by ,6j . Who is personally known to hie or who has produced
7 Z 4 , as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
(Seal)
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