HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITRlanntng &.Development -Services
Building'& Code Regulation Division
2300 Virginia Avenue
-Fort Pierce, FL34982
772=462-216S or-772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT SCANNED
BY
St. Lucie County
Re: Permit # 1 ICU
I, Oi- 14e; AP,
lic —� ensed as a(n)Contrector*/Engineer/Architect
(Please print name & circle license type)
#FS468 Building Inspector
If" ImPemon:
On orabout OZ I did personally inspect the roof deck nalli
nim
ry (Date) 1
work at:]ILtLi r-t"U —s
(Jobslte.address)
Based upon that examination I have determined the installation was done according to the current
edi of the Florida Wain Building Code Section 708 or therproduct approval submitted (whichever
is st gent).
Signaty eand Seal CcCmILj06
License,#
STATE OF F RIDA
COUNTY OF
Sworn to and subscribed before me this
by _ day of_
�a n. 20IJ
�I ,_,)Y=f' 1�'t 1 Wha 1s,personaily known to me or who has -produced°
as -identification..
Notary Public, State of Florida
Signature of Notary:
�'�' e• NICNELLE,GREEN
�kj Notaypuoiic•S
C,ornmisslonNumber:
see o(Florida
CommissiooXLG 286318
{ (Seal) ?o_ d�'� eny Comm..EX
En
fifes Dec 20, 2022 ,
Banded lhmugh National Notary Assn.