HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITEI
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Re: Permit#
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982 RECEIVED
772-462-2165 or 772-462-217
Fax: 772-462-6443 I OCT 3 0 2,19
ROOF INSPECTION AFFIDAVIT
SCANNED
BY
St. Lucie County
i,T//
o edv- a licensed asa(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
STST. Lucirmitting
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about 0d. 3 D, A-0 (q . I did personally inspect the roof deck nailing
f (Date) f f
work at: �D 0 PA �t D M-Otn� Put k W 0..E
(Job site address)
Based upon that examination I have determined the installation was done according to the current
editio the Florida Existing Building Code Section 708 or the product approval submitted (whichever
is rp6st triae-kitl.
GCG/32 8 (3,2
Signature and So License #
STATE OF FLOR�A
COUNTY
Swo9a,to and subscribed before me this 30 day of a7l 3W 20_6
by t 1 n /n v l pi/-p'71AU
Who is personally known to me or who has produced
L r']/ fL? � --42
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
oaY O�.: STEPHEN P. RYAN
%+ • Notary Public - State of Florida
+o` Commission if GG 362999 ;�.:
My Comm. Expires Aug 6, 2023
En
Bonded through National Notary Assn.