HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT10 /--G L
Re: Pe
M
(P
Planning & 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
it it, a 6 D/ —45,72
`_Z,5licensed as a(n)Contractor*/Engineer/Architect
print name & circle license type) *FS468 Building Inspector
REOEIVFD
DEC 181018
Pbrrhlttog O
St, 40cle Cod ty ent
SCANNED
BY
St Lucie County
Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such on inspection.
On or Ibout L % 2�� /30i� I did personally inspect the roof deck nailing
(Da e)
work
(Job site address)
elex'�
Based upon that examination.I have determined the 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 License #
STATE OF FLORIDA ,
COUNTY OF ✓i- C9
Sworn_to and subscribed be ore me this day of / . C 20_0
by (-)0l-R -1SmjV. Who is personally known to me or who has produced
FL T L as identification.
Notary P�ublic, State of Flori
Signature of Notary: m U'-,
Commission Number: Q' & v—Z.rl
En
(Seal) %%iI IELLEN VAUCWN
a,
Stet® of Plorldo-Notary Public
-• Commisalon # 0G -Yat `
fiii°`P��� My Commlo®lon axplyd9
Ootobor 22, 2022