HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & 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 [-RIECEIVED
�[Ifd OCT 12 2018
S% Y ST, L-die
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county, Permitting
Permit # C y-�i� St Lucie COunty_
licensed as a(n)Contra ctor*/Enginee r/Architect
;Please print name & circle license type) *FS468 Building Inspector
moral, Building, jResidential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
or about /A// , I did personally inspect the roof deck nailing
(Date)
m
at: t )ti LZ '11nAlf g)r -�'e"'s-e
(Job site address)
!d upon that examination I have determined the installation was done according to the current
on of the Florida Existing Building Code Section 708 or the product approval submitted (whichever
ost st(igent).
Signature and Seal
ATE OF FLORIDA
)UNTY OF
License #
;worn to and subscribed before me this )— da Q (Z�— 20 IF
)ywho is pe ovally know to me or who has produced
as identification.
Votary Public, State of Flo
r'da
signature of Notary: c--
:ommission Number: (Seal)
JULIE ANNE CARREIRO
A''a
.`- Commission # FF 179288
Expir» December 7, 2018
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