HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITJan 1419, 09:30a Treasure Coast Ror fioq 772V9'0P,58 p.1
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
109
Re: Permit # 401— W V
SCANNED
By
St. Lucie County
✓4 .• F2Fo
S�i
h �Y1Cn t��ney J licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle licYnse type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any Individual certified under468 F.S. to make such an Inspection.
On or about ( (iy ! %/i I did personally inspect the roof deck nailin>
(Date)
work at: f S So I �Gli(i t Q\'IC4
(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 611 or the product approval submitted (whichever is
most strigent).
t
ignature a0 Seal
STATE OF FLORIDA
COUNTYOF //rLe1
ter^ c i3 3oCs3
License #
Swor�nJS o and subsc�ri/be"d before me this �ay of ,1 �iJ 20ZY
by / �!'i �n 1 c�t/OWho is personally known to me or who has produced
as identification.
Notary Public, State of Flor' a �p ///�/J //
Signature of Notary: n /Z liK�t—
Commission Number. ��!(,? 4 2 (Seal)
En 0IM12011
w Notary Public State ct Flodtle
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