HomeMy WebLinkAboutROO0F INSPECTION AFFIDAVITis
Planning & Development Services
Building & Code Regulation Division
.1 2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT SCANNED
BY
f St Lucie County
Permit # lk/o f v 5
OL-
c icensed as a(n)Contractor*/Engineer/Architect
print name & circle license type) *FS468 Building Inspector
aneraf, Building, Residential or
Roofing Contractor or any Individual certified under 468 F.S. to make such an inspection.
i or about 10 13) . I did personally inspect the roof deck nailing
(Date) 2 �(
irk at:�� U "
site dress)
sed upon that examin have deter shed the installation was done according to the current
ition of the F a Existi Lill
de Section 708 or the product approval submitted (whichever
License #
'E OF FLORDA
NTY OF '�Q L+e" i-e
�n to and subscribed before me this _ day of 20d
4 ,h(A6 .$C�1►rov? e1-ex Who is personally known tome or who has produced
as identification.
Public, Sta f "014a
re of Nota
ssion Number: (Seal)
otgh LISA MARIE MONTELEONE
. A Notary Public - State of Florida
�f Commission = GG 190497
E + My Camm. Expires Feb 27, 2022
Bonded through National Notary Assn.