HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, Fl. 34982 �RECEIVE-D
772-462-2165 or 772-462-2172
JU 019
Fax: 772-462-6443 F JUNCI 2V72019
ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
Re: Permit d1r)
WNfi. licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractarar any individual certified under 468F.S. to make such an inspection.
Onor about. (0 ( I I I 19 , I did personally inspect the roof deck nailing
(Date)
work
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
iost strigent).
Signature and Seal
0
License
STATEOFFL�r,j
COUNTYOF
Swap to and sub re me this 19 day of 20LIq
'j,bef
Who —is personally a
by as identificatT6n kjo�, ��te or �ihohas produced
Notary Public, State of I r
Signature of Nota KATHERNEHMEM
rGl CS-030
D_::
�1 LC 04',2021
Commission Number: fSea 11 Y—mi,
En