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
SCANNED
BY
ROOF INSPECTION AFFIDAVIT St. Lucie Count,
Re: Permit # ( G 10 _ v )
I, loll d /►(, Co n$4a n��-- licensed as a(n)Contractor*/Engineer/Architect
(Please prin ame & circle license type) *FS468 Building Inspector
*General, Building, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about `�/�-05- 1 did personally inspect the oof deck
/(Date)
work at:
(Job site address)
Based upon that examination I have determined the installation was done according to the current
Section 611 or the product approval submitted (whichever is
STATE OF FLORI
COUNTY OF k KC-1
Notary Public, State of Flo i a y�
Signature of Notary:
Commission Number:
En 01/19/2011
License #
V20—LCO
who has produced
(Seal)
ANGELA M NUPY --
,••° Notary 130111; • AjAjA ®1 YIAflgj
'•: commlsolenNFF8147801
My Comm, EApVAA MAY E?, Rely
"°` BalAedgM gatlA(jA! AI990.