HomeMy WebLinkAboutRoof Affidavit Apr 16 19, 11:25a Treasure Coast Roofing 7723438358 p.1
Planning & Development Services
" = - Building&Code Regulation Division
2300 Virginia Avenue
e Fort Pierce, FL 34982
is 1 772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
I, j�� C;l QYt?J•{ licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license type) *F5468 Building Inspector
*General,Buifding,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about q b I I did personally inspect the roof deck nailing
(Date)--� 1
work at:l�GCO A I r� Q
� II �I t-( lass LK)-
(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).
SignaturtAcl Se License#
STATE OF FLORIDA
COUNTY OF Sk LL•e,e
Sworn to and subscribed before me this /!o day of i���( 20_Lc'
by /'7a lonp.r Who is,personal y known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary-
Commission Numbeyc,�_. 31/3(-S (Seal)
En 01/19/2011
JOSHUA REDHEAD
�,, Notary Public-State of Florida
'+ •_ Commission N GG 311385
My commission Expires
% , +` March 13, 2023