HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services �— 03 Ig
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
Re: Permit # 1403 - 05 4
SCANNED
BY
St. Lucie County
I, hby:w& \ Rus/>u.-"fc , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofng Contractor or any individual certified under 468 F.S. to make such an Inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: -i 3D0 �A1wt0-5 TrL Q- 344y Z
(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 Host strigent).
L c 66 l3315l5i0
Signature and Seal License #
STATE OF FLORIDA
COUNTYOF ,
Sworn to and subscribed before me this %%' day of DN� 20-40)
by (Vi3xl OL Qit= wank . Who is personally known to me or who has produced
I 'Q as identification.
Notary Public, State of Florid r�/
Signature of Notary: tiUC.I.U.rT
Commission Number: C' 1r1 M °I (Seal)
En
, ELLEN VAUGHN
;+ - State of Florida-Notery Public
Commission 0 OG 270079
My commI slon Expires
Octab0 22 2022