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
Re: Permit #
SCANNED
BY
St. Lucie County
I, , license dasa(n).+o,b�ior /Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, @udding, Residential or Roofing Contractor or 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: 6500 Glades Cut Off Road, Ft. Pierce, FL 34981
(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).
CCC054782
Signature and Seal License #
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of 20.
by Who is personally known to me or who has produced
as identification.
Notary Public, State of Florida
Signature of Notary:
Commission Number:
En
(Seal)