HomeMy WebLinkAboutROOF INSPECTIONI
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FIL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re': Permit #
license as a (n) Contra cto r*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
SCANNED
BY
St Lucie County
*General, Building, Residential or Roofing Contractor or any Individual certified under 468F.S. to make such an inspection.
Onorabout 10-CT-1? , I did personally inspect the roof deck nailing
(Date)
work at: 7-112-c S ocro4e-- Olf
(job site address)
Based upon that examination I have determined the installation was done according to the current
edition of the Flo�icla Existing Buil g Code Section 708 or the product approval submitted (whichever
is rri
t
,5�f!7, CIC1350
$ig'hature and Seal License #
CE, 21 , YEW)
RE V
C"
STATE OF FLORIDA
COUNTYOF
-"�Tnent
Sworn to and subscribed bef emethis S dayof OCI-4,--.,�- 20�L7
I nit'Ling
by ".r . Who is personally known to me or who has produc Fdperfm , FL
fl
Lucie CO
Ae AS In"ii— — as identification. St. I
Notary Public, State of Flor*
!;�5 -
Signature of Notary:
Commission Number:
(Seal) .. .... COCHRAN
RICKY CAHL
cia - S Florida
Nciary Public
N Ty Publi
A'k
�-Sjajeofpofida
-1`2136
commission#1313172136
C mmission # GG 1
En
2022
My Comm. Expires Apr 26.2022
40 My mm. Expires Apr 26
f4,1"Pam