HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT01/24/2019 16:04 (FAX) P•001/001
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462.2172
Fax772-462-6443 \
ROOF INSPECTION AFFIDAVIT
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I `� icensed as a(n)Contractor*/Engineer/Architect
(Please Print name & circle license type) *FS468 Building Inspector
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St. Lucie County
*General, Building, esldeen%dal or Roofing Contnrdoror anyindividuol certfffledunder468 F.S. to makesuch an(nspectlon.
On or about /� I did personally inspect the roof deck na(lin
(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio ff
a Existing Building Code Section 708 or the product approval submitted (whichever
i ost
Signature andSeal License #
STATE OF FLORIDA 1 VVV"'V)�b
COUNTY OF , 1
Sworn nd fgr this day
b ' u(f .Who Is personally know ho has produced
as identification. I
Notary Public, State of
Signature of Notary;/b
Commission Numb : (Seal)
En
SHRCISS SCHWAB
Notary'PuNlo-stmdda
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My Comm. Cupkes Mar 3.2010 `'•