HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITplanning & Development Belaices
Building & Code Regulation Division
2300vivginia Avenue
Fort pierce, FL 34982-
771'-462,2165 or 772-462-2177,
ROOF INSpEcTION AFFIDAVIT
6 7—Vf
Permit # Q
SCANNED
st Lu e cWtv
RECEIVED
SEP 0 6 7.018
Permitting Department
St. Lucie County
licensed as a(n)Contractor*/Engineer/Architect
*FS468 Building Inspector
(Please print name & circle license type)
General, Building, Residential or Roofing Contractor or any individual certified tinder 468 F.S- to make such an inspection.
I did personally inspect the roof deck nailing
On or about
/(Date) /
-76 6 -3
vuork at: (Job site address)
Based upon that examination 1 have determined the installation odudctoueaccording
o a siubmitt d (Whichever
edition of the Florida Existing Building Code Section 708 or the product p
is most strigent).
Signature and Seal
License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20
by ��•�, �r(/,�c,,� . Who is known to me or who has produced
as i7en�ifica3Eion.
(Votary Public, State of F190a
Signature of (Votary'
Commission Number: to a-?C6LO (Seal) """''•a CHRISTINAl6lARIERODRIGUES
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