HomeMy WebLinkAboutROOF INSPECTION AFFIDAVIT37V
SCANNED
BY
St. Lucie Courity
Planning & Development Services
Building & Code Regulation Divielon
2300 Virginia Avenue
Fort Pierce, FL 34982 RECEIvED
772-462-2165 or 772-462-2172 NOY 2 7 7018
Fax: 772-462-6443 Permitting Dep rtment
St- Lucie county
ROOF INSPECTION AFFIDAVI
Re: Permit # 0 3 Q Y
1, licensed as a(n)Contractor4/Engineer/Architect
(Please print name & circle lIcehs4 type) *FS468 Building Inspector
*General, Building, Residential orRooflng Contractor or any Indwidual cert#led under 468F.S� to make such an Inspection,
On or about ( ( I did personally inspect the roof deck nailing
(Date) 1-bas:e
work at:
S'. 0 e- e �,
(Job site
ji�r 3 Ir-75- 7
Based upon that examination I have determined the installation was done according to the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
moststrigenti- -
— IAIFq
Signature and Sealf
CC-C 057?; 7.j,?
License #
STATE OF FLORIDA
COUNTY OF F/�Y—A/ :4 <1
Swomtoan kubscribed betbre me this a(K%ayf.— /Ow. 2aL, V
Who is personally known tome or who has produced
Identification.
Notary Publlc� State of Flod a
Signature of Notary:
commission Number: dQ!V ;3 (Seal)
En W119/20n
S"han P. Frederick
NOTARYPUBLIC
STATE OF FLORIDA
Coning GGD46393
Expires 1IM2021