HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITgo
b V �✓
SLOW
a�.�
GJ
Planning & Development Services
Building & Code Regulation Division SCANNED
2300 Virginia Avenue BY
Fort Pierce, FL 34982 St. Lucie County
772-462-2165 or772-462-2172 a
Fax: 772-462-6443
o �
ROOF INSPECTION AFFIDAVIT
o
Re: Permit# 1` oq—�16
Q 1 licensed as a( Contractor* ngineer/Architect
(Please print name &circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under458 F.S. to make such an inspection.
On or about I did personally inspect the roof deck nailinl=
(Date)
work at: y 15 RNAOT : a )1\ir
(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).
!�I" N' Uc, M g-1(9
Signature and sea License #
STATE OF FLORID
COUNTY OF
Swo s riej�j`_`j1-jthday of.
w20
byWho is Personally knon to nnor who has produced
as identification.
Notary Public, State
Signature of Notary.
Commission Number:
En
KATHERINE MYC COMMISSION HAVENS
1oL EXPIRES: DEC 04, 2021
°FPS Bonded through let State Insurance