HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code: Regulation Division
230O Virginia Avenue .
Fort Pieree, FL 34982
772-462-2165 or.772-462-2172
Fax: 772-462-6443.
ROOF INSPECTION AFFIDAVIT
Re: Permit
SCANNED
BY
St Lucie County
����� i �§Msed as a(n) ohtracto /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. on. inspection,
on or about /off / , I did personally inspect the roof deck na'irin
(Date)
work at: '4rU-1
(job site address)
Based -upon that examination I have determinedthe installation was done: according to the current
edition of the Florida Existing Building Code Section 708 or the product approval; submitted (whichever
is most strigent).
Signature and Seal
STATE OF Ft p; A
COUNTY OF_j t`jt__.—.
0
license-#
Sworn to and subscribed before me this ID _ _ day of
b `G1�tan j cs�� Who is peFsoaai nown tome. ii
as identification. /
Notary Public, State of
Signature of Notary;_
Commission Number: _
,En
20
has produced
ot►g:°�r, _ MARKKENNY
* COMMISSiOrTM 144499
(Seal) �^M
Expires September 19, 2021
'-' m SM4ed Ttwu Bu*I NatarySe VJ=