HomeMy WebLinkAboutRoof Inspection Affidavit Dec 28 20,02:39p Treasure Coast Roofing 7723438368
p.2
Planning&Development Services
Building &Code Regulation Division
® 2300 Virginia Avenue
1 Fort Pierce, Fill.3492
s I. 8
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit# a 0) 4 Z `(4 Y 0
Mo r censed as a(n)Cantractor*/Engineer/Architect
(Please print name&circle license type) �� *FS468 B.uildiag Inspector
*General,Building,Residential or Roofing Contractor or any individual certified under 468 F.S.to make such an inspection.
On or about « Ala° I did personally inspect the roof deck nailing;
(Date)
-vork a !�� r��rfle L,y
(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 708 or the product approval submitted (whichever
is most strigent).
5igna re and Seal License#
STATE OF FLORIDA
COUNTY OF
Swor to and subscribed before me this -Z 2' day of ' 20
by Who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary: f
Commission Number: v --
r J;, , (Seal)
En
victor G Alterizio
Notary Public,State of Florida
My Commission Expires 11/Q5l21122
Commission No.GG 27h292