HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJan 11 19,12:04p
St Lucie Roofings_
77"^'7354
p.1
cE(a-ogle
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
Re: Permit # ! $ ( a - O N u C<-
I,J�r am ari licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) •FS468 Building Inspector
"General, Building, Residential or Roofing Contractor or any individual certified under 46R F.S. to make such on inspection.
On or about (� I (f I did personally inspect the roof deck nailing
(Date)
work at: U00r, �.(/IGrra \ QIV?i''lu—I-L�tem(�
(Job site address)
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 strige�ntt)..
Cigna ure and Seal
STATE OF FLORIDA ,
COUNWOF MA bwtcr C.
License #
Swom to and subscribed before me this ! I day of )an 20 q
by .% tffi�e4i-iaMF S(S� Who is_ personally known to me or who has produced
as identification.
Notary Public, State of Flofid P
Signature of Notary: ii �r IM.J
Commission Number. (Seal)
En
oQ'-w,
CONSTANCE PROULX
,o State of Florida -Notary Public
11 •= Commission S GG 258328
My Commisston 2022a
September 16.