HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT0721 > 7 r; :..
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Re: Permit #, 4i 1,3 f--M 9
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:7727462-6443
ROOF INSPECTION AFFIDAVIT
-LU U3 09
SCANNED
BY
St. Lucie County
„ licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) "FS468 Building inspector
s`6e17eraL Building, Restdential orRoay9ng tbntractor ar any individual certified under 458 F.S. to make such an iaspecdon.
On or about 3 I did personally inspect the roof deck nailing
(Date)
work at:
1n3QQ AIMML k �
(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
STATE OF FLO DA
COUNTY OFM L"'.
CSC
License #
S rn to and subscribed before me this day af.N_2019
Who is personally known to me or who has produced
as identification.
Notary Public, State of ryw KAIHERINEHAM S
SignMYCOMMISSIOtd#GB1fi5
030
Commission Numbe FIRES:2021atUreofiNotarry: Banded tNaueh 19SWe Insura�s (Seal)
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