HomeMy WebLinkAboutRoof Affidavit Jan 27 20, 10:29a 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# 0O l
licensed as a(n)Contractor*/Engineer/Architect
(Please print name&circle licens type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about -;I— a27 .,10 1 did personally inspect the roof deck nailing
(Date)
work at: L57 Lyc coo
(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).
GGA/33 0 r5
ignat a anQVeal License#
STATE OF FLOR1 A ,,� S o?�A��•.
COUNTY OF S uC� {� •�
PUBLIC
Sworn to and subscribed before me this�_day of Y}— 202:j7- 10 A4'•'
by od&bn;. ( Who'i ersonal o me or who has produced '�� �.1i*+1fl3
�—as identification.
��/rl•1YM41�INt1�\
Notary Public,State of Florida
Signature of Notary: -�
Commission Number: (Seal)
En 01/19/2011