HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT04/25/2016 Oe:40 186376352,,�'-
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FIL 34982
772-462-2165 or 772462-2172
Fax: 772-462-6443
ROOF INSPEMON -AFFIDAVIT
Re! PerMit # !WQ
SCANNEE)
BY
St. Lucie Countv
1, licensed as a(nJS22!��Engineer/Architect
(Please prnt name & circle license type) I � *FS469 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 458F.S. to make such an InsliectiOn.
On or about -4/ 1-26 1 did personally inspect the roof deck nailing
(Date)
work att 140
(job site address)
examination I have determined the installation was done according to the current
ricla Existing Building Code Section 611 or the product approval submitted (whichever is
6e,- � 13
seal License #
STATE OF FLO
COUNTY OF
ZVI�
Sworn to and subscribed before me this Qb davoU2�n 20-L6
- g�--35u�to me orwho has produced
by_— �Jho �er5onally k�n
� as identification.
Notary Public, State of Floridh J1
Signature of Notary:— ��--X4
commission Number: fl "WM' A (Seal)
my C70 10NNVF2'14'0EM'
E
En 01/1912011 PRE
RECEIVED AW25 2016
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