HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
Rece
4,0, Fo
peer II?0
s ern !B
f L4CeDoU tr ®?r
SCANNED
ROOF INSPECTION AFFIDAVIT By
St. Lucie County
Re: Permit# \,o�o2�> P,+7-1-5/
I, nsed as n Contractor* ngineer/Architect
(Plea -se pri t name & ci le license t *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 I did personally inspect the roof deck nailing
(Date)
work at: (e/
(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).
SIRIMature and I
STATE OF FLORIf,IQ, ,
COUNTY OF�� _
C— ,C' l?�zLo L �5
License #
Sworn to and subscribed before me this 1I day of koi-- 20 (�-
by arfta=Who is personally known to me or who has produced
I--L as identification.
Notary Public, State of Florida /
/ / „„
Signature of Notary: ( �* ELLEN VAUGHN
Commission Number: �4G �� (` (Seal) _State of Florida -Notary public
;� •; Commission g GG 270079
My Commisslon Expires
En""'""•\ October 22, 2022