HomeMy WebLinkAboutROOF INSPECTION AFFIDAVITPlanning & Development Services
J Building &Code Regulation Divisio 1 RECEIVED
r s
2300 Virginia Avenue
? a_V1i t Fort Pierce, F134982 JUN 132019
4 772-462-2165 or 772-462-2172
Fax: 772-462-6443 ST. Lucie County, Permitting
ROOF INSPECTION AFFIDAVIT
SCANNED
BY
Re: Perrmyit# I — o'5 -O 5 St. LUCe County
I, iCl Y�i CO IOlt licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license type) *FS468 Building Inspector
*General, Building, Residential orReofing Contractor or any individual certified under468 FS. to make such an inspection.
On or about b t I I G I did personally inspect the roof deck nailing
7(Date) 7
work at: 1 V�g C J S 1
(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 .
1(
Signature and Seal
ace f35rP-1(2
License #
STATE OF FLO
COUNTY OF
to and subs4 rl b for
Te this � 3 day of �I
b
y rbt(Y �)i �i-Il
who is personally kno
to o me or who has produced
as identification.
�
Notary Public, Sta/$t�e'��a'��
p5'"'°`' knTN,ERINE fiAV=P3s
e5E
Signature ofNot�ry;�l
IrY Wh7i-55ieN r o�
Commission Number: a
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n % EXFtREs. oec g 2�[. I
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