HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITu
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 SCANNED
772-462-2165 or 772-462-2172 BY
Fax: 772-462-6443 St. Lucie County
ROOF INSPECTION AFFIDAVIT
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1 MpV 091019
Re: Permit # �L 'UJ1 artn ent
peitniKm9 e�aunrl
St. W
I, E licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
'General, Building, Residential or Raofing Contractorar any individual certified under468 F.S. to make such an Inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at: 3`4�)5 y10as) CA E I inU .
(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 FL D „, n
COUNTY OF
cc c i 33 017-7Le
License #
Sworrkio qd subs ib - fgyg this �. day of �� Z0�
bY� �'/'-{Vt��i"1 I Who is personally known to a or who has produced
as identification.
Notary Public, State of
Signature of Nota
Commission Number: (�) T "�
—.--r— T_ (S Uv
KATHERINE HAVENS
A4Y COMMISSION #GG165030
En EXPIRES! DEC M 202 i
Bonded through led State Insurance