HomeMy WebLinkAboutRoof Inspection Affidavit Dec 0519, 11:23a 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# !q!!-0319 d
licensed as a(n)Contractor*/Engineer/Architect
(Please print name &circle license type) *FS468 Building Inspector
*Genercl,Building,Residential or Ro rng Contractor or any Individual certified under 468 F.S.to make such on inspection.
On or about I c� I did personally inspect the roof deck nailing
(DA6)
work at: -ov•
(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),
r . c�c1339G -3
Signatu a rid License#
STATE OF FLORIDA
COUNTY OF
Swot o and subscrjbed before me this 155 day of 20
by 4w,1.6 IZ&Ion 0 Who is personally known to me or who has produced
as identification.
i
Notary Public,State of
Signature of Notary:
Commission Number: U (Seal)
En 01/19/2011
7C1Jax o;q Notary POL.c State of Florida
r° a� victor G Allerizio
e My commission GG 274292
�7s a�. Expires l ll35120'22
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