HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & 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 SCANNED
BY
St Lude County
Re: Permit# /TOO/—
,j!ijJse as a(n)Contractor*/Engineer/Architect
(Please print name & 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.
Onorabout I did personally inspect the roof deck nailing
(Date)
workat: 7920'
(Job site address)
Based upon that
edition of 9a� Ic
is mostisfrige6t)k
and Seal
STATE OF FLORID
COUNTYOF
I have determined the installation was done according to the current
Building CodpSection 708 or the product approval submitted (whichever
6cc 0103-1� a,-17
License #
Svvorq� to apd subscribed �eipre m this IS' dayof 00/—�4� 201
b Ifjo�YA 1.241
L70 5 Who is personally known to me or who has proi
as identification.
Notary Public, State of Florio
-- Signature of Notary
Commission Number: (Seal)
Err
2 ar
OCT 05 2018
Jermitting Department
St. Lucie Cou,
RICKY CARL COCHROW
Notary Public - State of Florkla
d
CUMmiS$k1n#GG172136
EMj1yV'My Comm. Expiras Apr 26 2JO22
Ih?,* NA111 ��Aw.