HomeMy WebLinkAboutSheathing AFFPlanning & Development Services
- - Building & Code Regulation Division
COUNT 2300 Virginia Avenue
• I , A Fort Pierce, FL 34982
772-462-2165 or 772-462-2172
Fax: 772-462-6443
ROOF INSPECTION AFFIDAVIT
Re: Permit # 2009-0087
I, DOUG LEMAN , 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 09/16/20 , 1 did personally inspect the roof deck nailing
( Date)
work at: 107 36th Street
(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.)
Signature and Seal
STATE OF FLORIDA
COUNTY OF
CCC1329687
License #l:
Swo u scri d befay�ne this �`� day ' 20
Who is personally known t me or who has produced
as identification.
Notary Public, State f PI
Signature of Notary:
Commission Number: (Seal)
En 01/19/2011
CARALEE WELLS
MY COMMISSION # GGO%546
EXPIRES December 20, 2020
HP Color LaserJet MFP M477inw
Fax Confirmation
Sep-17-2020 7:25AM
Job date Time Type Identification Duration
202 9/17/2020 7:25:02AM Send 7724626443 0:42
Planning & Developmant Services
Sullding i Code Rftulatlan Dlvialon
COUNTY23Co vi ginia Avenue,
Fort Pierce, FL 34962
772.462-2165of772.462.2172
Fex: 772-462.W3
RQQF INWEVOON
Re: PermitN 2009-0087
I, C In LEMANlicensed as aNC"tfaCtoT*/&Sineer/Archlj (PtPiSe print name& ct me& circle IIt�F>se type) 'F5466 Building Inspector
�GMhul,aW'dMR Rasfar�Ibf orao�Nq[mvagbwany NCMiNa nRTr1 undxlba F.i N_kr,u an sap -
ortorabout_. 11111120 .ldid petsonallyInspectthe
i fdesknailing
taate)
work at: 107 36th Street
IJoh she address}
Based upon that examinatian 1 have determined the, installation was done according to the Hurrt[ane
Millgation Retrof t Manual (Based an 553.844 F,S,)
COC1329687
Signature and Seal Lkensr M
STATE OF F10RfaA
COUNTY OF jUQfU RIV &
q 1 � F ae.
mis��dara�mS�J1
- whe is alM known me ar who nag prod.rad
uieentlflcallfltatlen.
Wtary Nbliq, $rate 1 FI
Slgnat— of Notary
Cn MItaloe NYrllnar:
{seal)
En 01111taC11
A;�Wii; CAAAICe kVELLA
nry couwaexYl ■ wocca.e
UPetEe thur�nw ao. 2ma
Pages Result
1 A