HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITSt. LU
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
R Permit # l CC Q�'
I, 1 rm M licensed as n Contractor* gineer/Architect
Please print name & circle license t`ypg *FS468 Building Inspector
is
meral, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
or about �� 9 1. . I did personally inspect the roof deck nailing
(Date)
rk at: _� OWq G My Uour Rd . Pori- ?i ercf- aFL. �HC11-15
(Job site address)
RECEIVED
AUG 2 0 2018 '
Permitting Department
St. Lucie County
upon that examination I have determined the installation was done according to the current
I o t'eFlorida Existing Building Code Section 708 or the product approval submitted (whichever
2zUL o 33 o4Liie
ature an Seal License #
STq EorFLORID, q�
CO II NTY OF . j� -fit
Sw n to and subscr'bebe •e me this c�C Q da of G 20
by Ci h ta. Who is p� sonally know' tZ me or who has produced
I as identificai'=-"
En
y. Public, State of Florid y ;o1aP RYAN L.yNN COL.L.UiPV
ture of Notary: UA MY COMMISSION #FF170227
nission Number: - �Q° EXPIRES October 21, 2018
�,+0't1 a98-0153 FloridaNMWYryS Nice.com