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HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT09/ 112018 07 : 02 A I I Area Roof i n^-., (:-"yj7724646600 P , 0017001 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL 34982 772-462-2165 or 772-462-2172 afECMED Fax: 772-462-6443 SERPM4 ROOF INSPECTION AFFIDAVIT Pam a S I��p nt ' Permitting DCeopartment 5�ANN'D St. Lucie county Re: Permit # By St. LuciaCounty I, (Andrea-) G 69- is licensed as a )Contractor'' nglneer/Architect RECEIVED (Please print name & circle license type) *FS468 Building Inspector SEP 1 X :7018 *General, Building, Residential or Roofing Contractor or any indkidbalcertified under468 F,S, to make such an lnspecdonPermitting Departmer• St. Lucie COUnh, On or about _. I did personally inspect the roofeck nailin (Date) work at: C� I1fll A�t'_ d } er't+t S4 (Job site address) Based on that xaminati i have determined the installation was done according to the current editio f the F rida Exis 8 lidlr )ode Section 708 or the product approval submitted (whichever is strlee Signature andjleal License # STATE OF FLORIDA COUNTY OF . S�- Lucie, Sworn to and subsc ' ed before me this, day of 20 byAn &.Aj3iS Who is personal) known to me or who has produced as Identl Ication, Notary Public, State of Florida A"'� Signature of Noty" "'��` Commission Number:, 0, 6)n5R3.? (Seal) En �iay,. ru FArM MASON * MY COMMISSION # 00 003939 EXPIRES: JUae 20, 202D �oFF1�� 8on�dTaNB�dgsiNewy9enleea