HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
COUNTY
Fort Pierce, FL 34982
772-462v2165_or_772-462-2172__ _.
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # /qo,3 — io(0-7
SCANNED
BY
St. Lucie County
Cis)LUo )C*0, censed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Raofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about r - fg;;' d10 19 , I did personally inspect the roof deck nailing
(Date)
work at: ! v
Based upon that examin have
edition ofthe F a Existi uild)1
is most ' ent). i
STATE OF FLQP4DA
Sc
fined the installation was done according to the current
Section 708 or the product approval submitted (whichever
C 135 1
License #
COUNTY OF �-1 L LAO 1-Y Swam to and subscribed before me this //
, 6- day of ftL 204'
by � NA& .S( hP'oecie� Who is personally known or who has produced
as identification.
Notary Public, Sta f I rida .- r, •,� n
Signature of Nota 1 A / /,+'`�`�w�tl �
Commission Number:: i YG ` U (Seal)
En
...........
LISAAiAa(E MONTELEONE
Notary Public -State of Florida
;? Commission a GG 190497
o....... ,,.` MYComm.EXPlres Feb 27.2022
Bonded through National Notary Assn.