HomeMy WebLinkAboutRoof Inspection Affidavit Dec 2017,09:48a Treasure Coast Roofing 7723438358 p.1
Planning& Development Services
._ Building&Code Regulation Division
2300 Virginia Avenue
o o Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# /-7/
licensed aS Cn.)Contracttor*/Engineer/Architect
(Please print name&circle license type) *F546$BuTding Inspector
*General Building,Residentiai or Roof+ng Contractor or any Individual certified under 469 FS.to make such an inspection.
On or about G ! 7 i I did personally inspect the roof deck nailing
(Date)
work at: GJ
(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 611 or the product approval submitted (whichever is
most strigen
CC(-�1130�'s
Signature Sdf License#
STATE OF FLORIDA _
COUNTYOF
Swqrq to and su, cribed before me this_--('�) da"f - 2{)
by 10'n rn��--t WhQ Csapersgnall r known toDrne or who has produced .
pas,idevfication.
rJ � •` i�i�iailfil!�6
Notary Public,State of Florida. r RP
Signature
�ur
/ !fin
Signature of Notary:
Commission Number:
En 01;19/2011 a �' 77
tiFF1:144
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