HomeMy WebLinkAboutRoof Inspection Affidavit Aug 2219,09:29a Treasure Coast Roofing 7723438358 p.1
Planning& Development Services
Building &Code Regulation Division
® 2300 Virginia Avenue
o Fort Pierce,FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
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ROOF INSPECTION AFFIDAVIT
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Re: Permit# lq 6—)
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licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle license t pe) *FS468 Building Inspector
*General,Building,Residentla or Hoofing/Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about �� �7 1 did personally inspect the roof deck nailing
(Date)
1 II
work at:
(Job site address)
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Based upon that examination I have etermined the installation was done according to the current
edition of the Florida Existing Buil 'ng Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature3peSef License#
STATE OF FLORIDA
COUNTY OF 51rh JoUe
Sworn to and subscribed efore me this .cs2 day of 20 1q,
by Who is personally known to to or who has produced
as identification. 11
Notary Public,State of Florid
Signature of Notary:
Commission Number: a LI (Seal)
En 01/19/2011
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3'p.� Notary Public State of Florida
:° Ani- victor G Alterizio
s My Commission GG 274282
1+ ° Expires tvo5l2022
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