HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT{
i
Re: Permit # 16�63)-O A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue,
Fort Pierce, FL 34982'
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
SCANNED
BY
St. Lucie County
I,, esax.tid& licensed as a(n)Contra ctor*/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 on inspection.
On or about Wn ya%Q 1 J,aoi'� , I did personally inspect the roof deck nailing
(Date)
work at: Z c(q 8 s t-'N� 'B �. Vof
(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).
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF 6k,
Sworn to and subscribed before me this `S day of ^a t 20 !N,
by'So V% w c 4 h +va `'i . Who is personally known to me or who has produced
VX.-bL as identification.
Notary Public, State d
Signature of Notary:_
Commission Number:
En
DEANNAMARIE GIVENS
rntM ISS10N # GG 022023
Bonded tbm Notary Pubrm Undanvdtara