HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITt, -.
Planning & Development Services "
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax- 772-462-6443
ROOF INSPECTION AFFIDAVIT SCANNED
BY
St. Lucie County
Re: Permit # { Qf--S -11
Iji�ensed as a(n)Contractof*/Engineer/Architect
{ lease print name &circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Controctor ormyindividual certified under 468 F.S. to make such an inspection.
On or about IZ� 1,� I did personally inspect the roof deck nailing
(Date)
work at:
(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
occ:
License #
STATE OF FLOR
COUNTY OF �1- IucI-� , `'n'n
Savor to and subscrib d ,efgfe is Z ( day of�`�'�"r' -- --200
by 9 �1 el, If Who is personally known to me or who has produced
as identification.
Notary Public, State of ' Q
KATHERINE HAVENS
Signature of No[ary: 1 ;..w MYCOMMISSION#GG165030
EXPIRES: DEC 04,2021
CommissionNumber�it n5 -( (SealBonded through lst State Insurance
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