HomeMy WebLinkAboutRoof Inspection AffidavitO'ct 31 17, 02:00p 1 Treasure Coast. !R ofing
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Re: Permit# /707-02/Z
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
RECUb
El`V d 1 2017
1, �lR�a� '�_ _ -Acl --� licensed as a( oEding?lnspector
JEngineer/Architect
(Please print name & circle license typ) *FS468
*General, Buliding, Residential or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection.
On or about Za2121 / 7 , I did personally inspect the roof deck nailing
(Date)
work at: I26S-6 rwM
(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
mtr' nt)
ost.
Sign u an6sdl
STATE OF FLO D
COUNTY OF LLLC�
CcC11 3
License #
Swpr,V to and subscribed before me this rr 20_L7
by �:,4 . Wh s pars ally kno n to me or who has produced
a on.
Notary Public, State of Florida
Signature of Notary: "-
Commission Number:
En 01/19/2011
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 # 1710-0202
1, Julio Rubio , licensed as a(n)Contractor*/Engineer/Architect
(Please print name & circle license 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 '10/09/2017 , 1 did personally inspect the roof deck nailing
(Date)
work at: 2678 Niagara Ave
(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).
and Seal
CCC1331045
License #
STATE OF FLO(IDA
COUNTY OF ` Broward
Sworn to and lubscribed before me this 18 day of October ZD 17
by Julio Rubio . Who is personally known to me or who has produced
as identification.
W.cKCNDLycHARLES I
Notary Public, State of Florida = fir; i 1GN8FFIM9
- I : - Po EXPIRES: July 29, 2018
o� �4 .
Signature of Ni tarty,----"""! �!� ---,.� EondodThai NuiaryFublicUndenvrite;n
Commission Number: (Seal)
En