HomeMy WebLinkAboutroof inspection affidavit 05/15/2017 13:03 Gary Harzo, Inc. 7724658829 H0.762 #001
Planning& Development Services
Building&Code Regulation Division
2300 Virginia Avenue
A Fort Pierce,FL 34982
- ua.,^^� 772-062-2165 or772-462-2172
Fax:772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit#
u
20 :D21'. licensed as a(n)Gontractor*/Engineer/Architect
(Please p nt name&circle license type) *F$468 Building Inspector
*General,BulldinU,1?P-dentia!or Roofing Contractor or any individual certified under 468 F.5,to make such an inspection.
on or about �� fl I did personally inspect the roof deck nailing
(Date)
work at: 030
(Job site address)
Based upon that examination I have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual (Based on 553.844 F.S.)
�G- v6
S n ture an eal _ License#
STATE OF FLORIDA
COUNTY 0 `
Sw n to and subscrlbed before me this�5 day of 20-0
bWho is personally known to rhe or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011 ,,,
VAAD VANDERFUSR
E MY COMMISSION#FF09080
irXPIRES Marott 9,2078
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