HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
SCANNED
BY
Re: Permit # St. Lucie County
I,,.�n AA licensed as a( Contractor*/ gineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under468 F.S. to make such an inspection.
On or about 5 -5 I 19 1 did personally inspect the roof deck nailing
(Date)
work at:
r) 1Y6y ("
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition 2 t lorida Existing Building Code Section 708 or the product approval submitted (whichever
is most Igg t).
and Seal
STATE OF FLO A V U
COUNTY OF
cUCo� qqS
License #
Sworn two and s}{bss ribed e�fo�ree a this day of T1(k 20 L—(,
by Who is personally known to me or who has produced
as identificltkm
Notary Public, State of Florid _�/� _ _
Signature of Notary: .�(j(j�rl%/1
Commission Number: —�� (Seal)
t
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K LLYLMONEYNAN
MY coMMISSION # FF 903559
EXPIRES: July 26.2019
Banded TNu Budget Notary Services
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
1-hC4;d F' "O i -
Re: Permit # i Anti-M 99
SCANNED
St. Lucie Co $7
Jon Ashenback 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 Noon 5-14-19 . I did personally inspect the roof deck nailing
(Date)
work at: 5004 Abaca Dr
(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 s t).
nF;7A.r,?
Si ure and Seal License #
STATE OF FLORIDA
COUNTY OF
Swom to and subscribed before me this a day of (Y l Ck-L ( 20-L
by �O{1 -�G'li� Who is personally known to or who has produced
as identification.
Notary Public, State of FIgrid i _ .1+"":: t(cLLY L MON �Yt49V
Signature ofNota . Vl(Q,P� *ls h;YCOwR41s510Ni,F003559
Commission Number: (Seal) EXPIRES:Juty.26,2019
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