HomeMy WebLinkAboutRoof Inspection Affidavit May 05 20,12:09p Treasure Coast Roofing 7723438358 P.1
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
i Fort Pierce, FL 34982
712-462-2165 or 772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#a.309- 0 53
1._SX'i o,n kCQ�one licensed asoman, Contractor*/Engineer/Architect
(Please print name&circle license type) *FS468 But mgTnspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about_____ S�' �-12� _, I did personally inspect the roof deck nailing,
(Date) /
work at: 7lr� f-f/1 ;�f�� .
(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/aOVSeal License#
STATE OF FLORIDA /
COUNTY OF 9 �.a�:•'le
Sworn toted subscribe before me this day of ' ` % 2061
by 09r,i--, .+�G1 Who is pam-naally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: IA
Commission Number:_ n2 fy 51r.- (Seal)
En 01/19/2011
o'er"N Notary Public State of Florida
Victor G Aaerizio
1q< MY Commission GG 274292
mor a4' Expires 11IDW022