HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Di"'
Virginia Avenue RECEIVE®
Fort Pierce, FL 34982 JUN 112Ui9
772-462-2165 or 772-462-2172
Fax: 772-462-6443 1 ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT SCANNED
BY
St. Lucie County
Re: Permit # d7
1, i j licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential orRmliing Contractaror any individual certified under 468 F.S. to make such an inspection.
On or about �, I did personally inspect the roof deck nailing
(Date)
work at:
(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).
Signature and Seal
STATE OF FLO
COUNTY OF u ct i
c.rc tit
license #
SW tq {u {cred before me this k�i day of 20
19
by L` ttr` V`1 1 i:� il�'#'1-7 .Who is erp sanali k v✓n to me or who has produced
as identification.
Notary Public, State o
ri1
Signature of Notary:
KATH:Fit:E H„vets
Commission Number:
/ a t MY CO1PAUSIM4 fi4^ eS0 C i
afIRES Dc 04 20 2I
En
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