HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT201b-08-22 11:07 Mar,7i, Roofing Inc. 17798789051 >> 77"J'--,;26443
SCANNED
St. Lucie County
Re: Perm it # i 50I - 03GH
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
I,!LsguA' licensed as a(n)Contractor"`/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Bullding, Residential or Roofing Contractor or any Individual certUled under 468 F.S. to make such an Inspecrlon.
On or about '6 ~ 20 " « 1 did personally inspect the roof deck_nailing
(Date)
work at: Gyf--ac7 �-7 S15 , ffi P�Cm _
(Job site address)
Based upon that examination I
edition of the Florida Existin
is most stri
and Seal
STATE OF FLORIDA
COUNTY OF • �..V C.l�
41/6 2!17�^
PeS 1� c e0epa�nr�
COUnr,.
the installation was done according to the current
on 708 or the product approval submitted (whichever
c, ISS/ 20
License #
Sworn to and subscribed before me this 2-k$+ day of A UO Qy ;;k 20 1%
by S�\_iceC�i1V Q�Gt—. who ilCpersonally known _ Jo me or who has produced
as identl i
Notary Public, State F orlda
Signature of Nota
Commission Number, (Seal)
En
WISTINA K. RAWLIM
''NotRyPWllo'=.Stile
of Florida
GiMMIS$64FF973677
14 OMM.' 941res Mar 22, 2020
AGS
'� tr Notary Puo, I '•'� of florltla
Comrnlssron a rF.973677
�+� Mir Comm. Expires.Mar'22. 202p