HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT0111512019 15:51
�AV1
'
P.0011001
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
SCANNED
BY
St. Lucie County
ROOF INSPECTION AFFIDAVIT
P
Re: Permit#
I, fr llcensed as a(n)Contractor"/Engineer/Architect
(Please print name & circle license type) IFS468 Building Inspector
*Genera, Building, Residential or Roa}fag Contractor cranylndividual ceteed under468 F.S. to make such on inspection
On orabout 1-15-4 1 . I did personally inspect the roof deck nailine
(Date)
work at: el
(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 stri�
S4 nature and Seal
STATEORELORID
CU-U330337
License #
COUNTY OF /rI.GA[A—;k„_ /a
5 n to and subscribed before me this ) day of 20_
by . Who is personally k wn to me or o has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (seal)
En
Therese Anne Fasano
NOTARY PUBLIC
STATE OF FLORIDA
Comm# GG126275
Expires 711912021