HomeMy WebLinkAboutroof inspection affidavit OG/01/2017 15:39 Gar), Harp-o, Inc. 7724658829 N0.789 #001
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 io 7o,5 + 0(007
i, �aserrintnam�-&!Lircle
/J licensed as a )Contractor* ngineer/Architect
(PIfcense type) "F546 uiiding.in
*Genaral,building,Residentiai or Roofing contractor or any individual certified under 468 F.S.to maikesuch on inspection.
On or about—�D f 7 _ , I did personally inspect the roof eck nailin
(Date)
work at: c.0 k2x rb
(job site address)
Based upon that examination I have determined the installation was done according t6 the Hur�'icane
Mitigation Retrofit Manual (Based on 553.544 F.S.)
S n tune an eal License#
STATE OF FL IDA
COUNTY 0>= L f
Swot to and subscribed before me Lhis��day of�� f�� _ zoo
by 4 "O who is personally known to me or who has produced
as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: (Sea()
DAVID VANDEF FUER
" ;`� MY coMMISs1oN#FF090960
4-1517
EXPIRES March 8,2018
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