HomeMy WebLinkAboutRoof Affidavit Sep 16 20,08:58a Treasure Coast Roofing 7723438368 p.1
Planning
& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
Effxmffzxo Fort Pierce, FL 34982
r� 772-462-2165 or 772-462-2172
Fax: 772-462-6443
.iia*
ROOF INSPECTION AFFIDAVIT
Re: Permit
licensed as a(n)Contractor*/Engi nee r/Architect
(Please pri t name&circle li ense type) *FS468 Building Inspector
*General,Building,Residential or Roofing Contracror or any individual certified under 469F.S.to make such an inspection.
On or about 91/,`1-20 1 did personally inspect the roof deck nailine
(Date)
work at: �Q(1 �� p-�a,_1r•
(Job site address)
Based upon Lhat examination I have determined the installation was done accordingto the current
edition of the Florida Existing Building Code Section 611 or the product approval submitted (whichever is
most strigent).
Signature and SeaV License#
STATE OF FLOR DA
COUNTY OF
swqA to and s bscribed before me this ( day of s-l0 t 2Ga:Q
byy'cars MQ 1-n4 Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
commission Number: 1 j 6. Cn ER Z-7 q)L; i (Seal)
En 01/19/2011
1 Victor G Alterizio
Notary Public,State of Florida
MY Commission Expires 11/05/2022
Commission No.GG 274292