HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443 RECEIVED
JUN 0 7 7011
ROOF INSPECTION AFFIDAVIT
Permitting Department
St. Lucie county
Re: Permit#
�
I, .Ot1it�P 40a-lla licensed as a( Contractor /Engineer/Architect ��
(Please print name & circle license type) •FS468 Building Inspector C0G
7'j,
'General, Building, Residential or Roofing Contractor or any individual certified. under 468 F.S. to makesuch an inspection.
On or about 5 =C/—/% I did personally inspect the roof deck nailing
(Date)
work at: %.�OV IAIIICS'19- 7Y/ ,e /n-T
(Job site address)
Based upon that examination I haye determined the installation was done according to the current
edition of the Florida Exis itt �Bu} ding Code Section 708 or the product approval submitted (whichever
is mostfit). n f
License #
Cc 0roC&
STATE: OF
COUNTY OF $ke—
Sy om��nd subscri ed before me this P day of '(41 20
b //'' 1 / /ice 1ilLt! Who is personally knAn to me or who has produced
JOr. as identification..
Notary Public, State of Flori J Signature of Notary:
Commission Number: d'/-Jn7P31 n7.
En
L
STATE OF COLORADO
NOTARY 1019894010503
Sly COMMISSION EXPIRES O4120=22