HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT0
0
1
COUNTY
F L O R I D A
Re: Permit #]M-017V
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 77.2-462-2172
Fax: 772-462-6443
SCANNE®
ROOF INSPECTION AFFIDAVIT BY
St Lucie County
I,�C�sht�ts�� Sg"fy4Tjcensed as a(n)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.
On or about A40 1 did personally inspect the roof deck nailing
(Date)
work at:CLaolfJ14
Based upon that examin have deter fined the installation was done according to the current
edition of the F a Existi uilding de Section 708 or the product approval submitted (whichever
is most ent).
�0,C. 133 1J; off
gnat re-.wd gal License #
STATE OF FLO IDA COUNTY OF Sa-r Luc---,
Sworn to and subscribed before me this 9 day of iQ ? 20a?
by Stl.,5h(Aj S61r0e-iC4-V . Who is personally known to me or who has produced
as identification.
Notary Public, Stat f ri a
Signature of Nota • -M
Commission Number:C�� I `?�'�-] (Seal)
hKA
. Oi;®gh LISA IItARIE htONTELEONE
` Notary Public - State ofFlorida
,V Commission - GG 090497
OF M", My Comm. Expires Feb 27. 2022
Bonded through National NotaryAssn.