HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT04/16/2019 15:26 7722210342
SEA OAKS _ PAGE 01/02
& D velo ment services
planning e p
Building & Code Regulation Division
2300 Virginia Avenue SCANNED
Fort Pierce, FL 34982 BY
772-462-2165 or 772-462-2172 St. Lucie COuntV
Fax: 772-462-6443
RECErveo
ROOF INSPECTION AFFIDAVIT
OR l 61019
p3`{`i Pest.L o
Sk Cucle County enr
Re: Permit#_ iQ�.I —� LkL4
�,Cnna LW licensed as a(n ntract /Engineer/Architect
(Please print name & circle license typ "FS468 Building Inspector
*Genera4 Building, Residentlal orRoofing Contractor or any individual wrtli7ed under 4d F.S. to make such an inspection.
On or about lb 1 I did personally inspect the roof deck nailing
(Date
work at:�L'f
(Job site address)
Based upon that examination I have determined the installation was done according to the current
71;
xisting Building Code Section 708 or the product approval submitted (whichever
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Signature and Seal License #
STATE OF PLORIDA
COUNTY OF Z2l4/ ,ALP1VJF0ie
Sworn to and subscribed before me this •!'r_ -day of_ g4eU 20L,
by u�Rb LAY who is personally known to me or who has produced
asident ca ian.
Notary Public, State of FlotKia e
Signature of Notary: a =y 'I,
,
Commission Number: 3za, .� (Seal)
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