HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
:T tZ Building &Code Regulation Division R�EIVED
® 2300 Virginia Avenue
o Fort Pierce, FL 34982 AUG 0 701%
_.:.. 772-462-2165 or 772-462-2172
ittin9 DeParte mn'
Fax: 772-462-6443 Pe St. Lucie Couniv
ROOF INSPECTION AFFIDAVIT
SUAMW
Re: Permit # a' c L ' QLAor�, —
I, 1 � licensed as a Contractor ngineer/Architect
(Please print name circle license ty .. *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 I l % 1. l . I did personally inspect the roof deck nailing
(Date)
l ,n
work at: i 1 i�CS Ioa„ i1R ����L�� l'�i\ A - — FV {-1C'l'C�.
(Job site address)
Based upon tat examination I have determined the installation was done according to the current
editioonn f�the Florida Existing BuildiCode Section 768 or the product approval submitted (whichever
is Est s r�igent).
_ / -2 �,� L .
/ng
CAL � �o I q �
i nature and S al License #
STATE OF FL
COUNTY OF
I �1
Sworn to and su cnbied Wore ore me this ! ' a� C 20�
by f 180��it� ��lf_1t I Who is ersonally knowtl� me or who has produced
as identific o
Notary Public, Stat
Signature of Nota
Commission Number: (Seal)
En
=LYNINOLLNPY #FF170227or 21, 2018(4U/1 ::l7•r..CS!.CUm