HomeMy WebLinkAboutRoof Inspection Affidavit Feb 1919,09:24a Treasure Coast Roofing 7723438368 P.1
Planning& Development Services
ik 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#—/Vv1- '*104
I'k
(m) licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle licens�type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor orany Individual certified under468 F.S.tornake such an inspection.
On or about I did personally inspect the roof deck nailing
(Date)
work at.
(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 strigent).
Signature,a./d Sea License#
STATE OF FLORIDA
COUNTY OF�/
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fermi eB q 2019
Sworn*apd subscribed before me this kf day of j��46 2OZ� Ing
by /,—V70^ A141jee-1 Who is personally known to me or who has pro edit. ePar
as identification. L/ciLz, C tMer7t
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Notary Public,State of FtorAa
Signature of Notary:
Commission Number: (Sea))
En 01/19/2011 soy it1k., Notary Public State of�l rida
Victor G AlterWo
MY Commission GG 274292
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