HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
SCANNED
ROOF INSPECTION AFFIDAVIT BY
St. Lucie County
MAURICIO nRELLANA ,licensed as a(n)COntractor*/Engineer/Architect
(Please print name & circle license type) 'FS468 Building inspector
`6e 0mt,8ur`Jdrng, Reiidentrai ar RooCng Cdrrtractotar any indiwdr ieeftijredunder F..S. tom Awwch an inspection.
On or about 3 t 2 41 9 , I did personally inspect the roof deck nailing
(Date)
work at:.8297 SPICEBUSH TERR PORT SAINT LUCIE FL 34952
(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 FLORID
COUNTY OF !�r 1. z ie"
CCC-1330623
License #
Sworn t and subscribed before me this 7i � day of Hr"1(" CA 20�
by au h.l d�1 (ir_ 4 I- "-PA. Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: (Seal),`i` ,.,• -' • •^F`€'