HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITl
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
SCANNED
ROOF INSPECTION AFFIDAVIT By
St. Lucie County
Re: Permit # /903 — oZbr'O
licensed as a( Contracto /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 an inspection.
On or about 03 z� �1 did personally inspect the roof deck nailing
(D te)
work at: 36G G
Based upofi that e
edition dit�F�
is m y estr a Yf/
STATE OF FLORIDA n
COUNTY OF
hLyb , Azl 5:avzj
,(Job site address)
I have de rmined the installation was done according to the current
�uilding Yode Section 708 or the product approval submitted (whichever
License #
Swprro,rto.,and subscribed before me this 0% day of r �� &3� 20`�l
byL—�C'W". �- . Who is personally known to me or who has produced
'�-t--. as identification.
Notary Public, State
Signature of No rv:
Commission Num (Seal)
En