HomeMy WebLinkAboutroof inspection affidavit 02/17/2017 13:57 Gary Marzo, Inc. 7724858829 NG.542 #001
--::::::::::::: Planning& Development Services
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""''""""'''"'' 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#
I, jrjlicensed as a(n)Contractor*/Engineer/Architect
Please rint name&circle license type) *F5468 Building inspector
enerol,Building,Residential or Roofing Contractor or any individuol certified under 468 F.S.to make such on inspe0lon.
On or about c:91111A0 i 7 I did personally inspect the roof deck nailing
(Date) �
w rk at: Ati
c.�c��0 6ekdaL-.&(4— b - � ,5qy'
(Job site address)
l3z sed upon that examination I have determined the installation was done according to the Hurricane
M tigation Retrofit Manual (Based on 553.544 F.S.)
s) n ture and eal License#
STATE OF FL IDA
COUNTY OFve-
Swora4to and subscribed before me this 7 day of 2c)-L7
by YY 6P ZQ Who is personally known to mejorwho has produced
as identification.
J
Notary Publl.c,State of Florida
Signature of Notary:
Commission Number: {seal)
En 01/19/2011 �;,•.,
f•tc� DAVID VANDEIRFLIER
, MY COMMISSION#(F099660
EXPIFICS March 9„ 0113
(07)39&075 Florfdehlatary$p�ylQe.aoM