HomeMy WebLinkAboutRoof Affidavit Oct 30 18, 11:38a Treasure Coast Roofing 7723438358 p•1
Planning& Development Services
- _ Building& Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# "`6 iib— 0(,r�
1, tL"'r GY`t , licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 Building Inspector
"General,Building,Residential or Roofing Con tractor or any individual certified under 468 F.S.to make such an inspection.
On or about �;S® � , I did personally inspect the roof deck nailing
(Date)
work at: 6 U'In rA;.c.;,r �
(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).
5i re art &ea License#
STATE OF FLORIDA
COUNTY OF Com. .s i
Sworn to and subscribed before me this- day of G 20
by T;kbjy� 't"+11 Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notarqz�
Commission Number: 1Ss` �� (Seal)
En '0114-, Notary Public State of F1orFQs
Deborah J Cacciatore
` MY Commiaausn GG 148734
'�« Expires 10111Q021