HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, F_L 34982
2-4 7762-2165 or 772-462-2172 RGCFTVFD
Fax: 772-462-6443 #dn
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ROOF INSPECTION AFFIDAVIT �a`re epa
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SCANNED
Re: Permit# 1902-0513 BY
St. Lucie County
1, Jesus Medina licensed as a( Contractor* ngineer/Architect
(Please print name &circle license type) *FS468 Building Inspector
*General, E0
Residential or Roofing Contractor or any individual cerdfled under 468 F.s. to make such an inspection.
On or about 03/12/19 1 did personally inspect the roof deck nailing
(Date)
work at: 13491 Orange Ave, Fort Pierce, FL
(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 strigent).
Sig ature and al
STATE OF FLORIDA
couNTYOF - f:LL Lu �.
CBC 1253459
License #
Sworn to and subscribed before me this day of McrGL• 20 ( al
by -�o sus C on ��i.e c_ Who is personalty known tome or who has produced
4e as identification.
Notary Public, Sty _
Signature of Notary:_
Commission Number: GC, 1 S 4 80 1 (Seal)
En
Wsv')e
Dawn M.. WeInkrantzNOTARY PUBLIC
STATE OF FLORIDA
Comm#GG159801
Expires 11/13/2021