HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2304 Virginia Avenue SCANNED
Fort Pierce, FL 34482 BY
772-462-2165 or 772-462-2172 StLucie County
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # SAC- 14TC56 '(}1Q 1
(, i (I CAIC , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*Genera; Building, Residential or Roofing Contractoror any individual certified under 468 f.S. to. make such an inspection.
On or about g la :tX7tl00 did personally inspect the roof deck nailing
(Date) l �
work at:d2 -7 �"Y'i � 24t C.. M! to V
(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
ost strigent).
� a�E33�(�-
Signature and Seal License #
STATE OF FLOR DA
COUNTY OF
Swor o d subs d b fore me this day of `J -T_ 20
Who is personally known tome or who has produced
as identification.
Notary Public, State of Flo da �� c i-r 'SON O.7(jc;SCMwFRoT
Signature of Notary: �. f,,("- s� STATE OF
.......— �;^ �r'e�' � STATE ATE OF FLORIDA€LC
Commission Number. ' (Seal)# �'';�£ C.^rnm# OOrgS205.
En "'4z8 Expires 1015/2020