HomeMy WebLinkAboutRoof Inspection Affidavit Mli Planning& Development Services
Building&Code Regulation Division
®COUNTY2300 Virginia Avenue
c Fort Pierce, FL 34982
-- 772-462-2165 or 772-462-21--7-7
Fax:
72-462-2 -
Fax: 772-462-6443 RECEIVED
JUN 2 h 2019
ROOF INSPECTION AFFIDAVIT OT. I.di;la o39Fley, Pi?Pf171thing
Re: Permit
I, �i�l��kya,�.. = C�na� ornC , 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 458 F.S.to make such an inspection.
On or about gCvA2 g�Ol�'jI did personally inspect the roof deck nailing
(Date)
work at;, q OW/L
(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.)
dG166a
4i�ZSignaVran eaI License#
STATE OF FLORID �p
COUNTYOFL-
2(S+. �- q
Sworn to and subscribed before me this day of �W— 20 � I
by . Who is personally known to me or who has produced
Sri\fPXS iCP.O5C., as identification.
Notary Public,State of Florida
Signature of Notary:
Commission Number: r32 /S (Seal) a•u:.
FRANCISCO J NAVARRO
n- Notary Public-state of Florida
En 01/19/2011 Commissior z GG 3296.5
My Comm.Expires May 1.2023