HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT SCANNED
BY
St. Lucie County
Re: Permit �' ��
I, M ichcad 3- IL\l licensed as a(n)Contractor*
(Please print name & circle license type) *FS468 Building In:
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to m e such an inspection.
On or about I did personally inspect the roof A Fa Ghmf t h0t-Cltalt:
( ate)
work at: 7370-739D S. Ccc-trn 17rl vim, Uinnsen 1�3- eeachl F-L 3Lfgs7
(Job site address)
Based upon that examination I have determined the installation was done according to the current
edition a Florida Ex ing Building Code Section 611 or the product approval submitted (whichever is
most rigent).
C cG
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF FbIrn 13' eQC�'1
Sworn to and subscribed before me this Cf ayaf-S locr 20L6
byMt C e( s DQICy . who is ersonally known to a or who has produced
!-eV5Ck 'A L. kncUwr-1 as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number: S' 0 (Seal) 44�w, ANNIE 3 WALKER
MY COMMISSION # FF948609
En 01/19/2011 EXPIRES January 06 2020
i�f/17AP 0'S] FknK]Nw.a Snrvec inn