HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITt =.
1
Planning & Development Services
Building & Code Regulation Divisil
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ED
( rS 12 2019
5T. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT 490
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FO 4�
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Re: Permit # I CIO 1-0 q 00 00,
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 468 F.S. to make such an inspection.
On or about r C- 3 ' �� c7 I did personally inspect the roof deck nailing
(Date)
work at: 9) 3 J A C I,c .SO N WA
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the �Qing Building Code Section 708 or the product approval submitted (whichever
Signature and
(_ CGG ) 3 Z (0 9%
License #
STATE OF FLO I
COUNTY OF
Swor and sub'ed before me this --L� day of 20L9
by�N6 Ma . Who is personally known to me orwho has produced
Ft.. D , I as identification.
Notary Public. State of
Commission Number:
En
(Seal)