HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSCANNED
BY
Sit. Lucie County
Permit # / 30 6- 03 3 'r
i
".L
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
ROOF INSPECTION AFFIDAVIT
no01111
/
RECEIVI=b
JUL 11201
ST. Lucie County, Permitting
t,/1l fr l� i ensed as a( )Contractor. /Engineer/Architect
Please print name & circle license type *FS468 Building Inspector
General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
n or about 71 / I l /. Z , I did personally inspect the roof deck nailing
(Date)
ork at: �� / 1 G
(Job site address)
sed upon that examination I have determined the installation was done according to the current
ition of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
strigent).
Signature and Seal
TE OF FLO A
1NTY OF •�_IrC�I
License #
morn to and suIscriibed before me this �_ day of ) 20
y>A_ wf (�(f�1 Who is personally known to me or who has produced
1rr- f 1� I _ as identification.
otary Pubfli r f Flori
gnature oat ry: r e .A .p c—'"---
�.�a'
)mmission Number: (Seal)
,� KAREN S. NIELSEN
=o,P"- R1 State of Florida -Notary Public
YPU
•= Commission # GG 207484
pAy CommiSsion Expires
June 12, 2022