HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT1�
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Re: Permit # Ik DS' 1� 7-2_
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Planning & Development Services sf li
Building & Code Regulation Division Oki? r
2300 Virginia Avenue a
Fort Pierce, FL 34982`�b�
772-462-2165 or772-462-2172 1�
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
SCANNED
BY
St. Lucie Countv
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I, S�,Eu_1 licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *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 5-- B--I I I did personally inspect the roof deck nailing
(Date)
work at: I l G3 o5c-t-z�t,.. -rrc_ Fr Pc�.c E
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the F da Existing Building Code Section 708 or the product approval submitted (whichever
is most ig t).
CGGos23 1102m
Signature and Seal License #
STATE OF FLORID
COUNTY OF -i LU CA-ei
Sworn to and s scribed before me this le day of 1 """7 20
by�U2 GmynY 33uc—y . Who i ersonall k o me or who has produced
as iden ification.
Notary Public, State of RENEE PHILLIPPE
Signature of Notary: I 8F 1 Notary Public, State of Florida
Commission Nurr U( al) Commission# GG 179276
R�=L, My comm. opires Mar.4, 2022
En